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... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... Management Behavioral Health Professional 2 work assignments are varied and frequently ... courses of action. Responsibilities Location:..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex to ... variable factors. Responsibilities..
Description Your Home Advantage (YHA) is a Humana-owned ... physician's office and the member's home. YHA provides prospective home visits conducted by licensed and ... trained clinical practitioners who perform..
... for performing clinical audits on medical record documentation for quality and ... support the submitted charges. Comprehensive medical records review will be conducted ... assigned by Supervisor, Manager and/or..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex to ... of variable factors...
... brand for a primary care medical group practice with centers open ... education and value-added, well-being services at the centers and around their ... community members improve their health...
Description The Medical Director actively uses their medical background, experience, and judgement to ... service should be authorized. All work occurs within a context of ... context of regulatory compliance,..
... Responsibilities Title : Clinical Trend Medical Director Assignment: Enterprise Clinical Management, Clinical ... Trend Location: Louisville, KY or Work At Home Assignment Capsule: Humana's ECM organization ... is seeking..
... Care Manager, Telephonic Nurse 2 work assignments are varied and frequently ... courses of action. Responsibilities Location: work at home anywhere The Transplant Care Manager, ... Transplant centers and..
... CGX and faxing to Humana Medical Directors for approval or denial ... within defined parameters to identify work expectations and quality standards, but ... or Cable modem for a..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... The Utilization Management Nurse 2 work assignments are varied and frequently ... collaborated team of Nurses and..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex to ... factors. Responsibilities Job..
Description The Vendor Quality Medical Director will manage clinical vendor quality ... Team. Responsibilities A full time Medical Director to manage clinical vendor quality ... to review quality audit findings,..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few ... that report to this Associate director will assist in identifying 'NEW' ... those areas. As the Associate Director,..
