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Description The Medical Director actively uses their medical background, experience, and judgement to ... service should be authorized. All work occurs with a context of ... context of regulatory compliance,..
... 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..
Remote Outpatient Coder Nationwide Are you searching for exciting ... recruiting company. We separate ourselves from the competition by specifically focusing ... specifically focusing on the electronic medical records and..
Ready to work for a renowned hospital in ... suburb that is easily commutable from New York and New Jersey. ... Nurse Educator Labor Delivery will work at a Magnet-designated..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... The Utilization Management Nurse 2 work assignments are varied and frequently ... in reviewing actual and proposed..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Bridgeport ... Bridgeport Connecticut Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead ... to the National Medicaid Quality Director, and be responsible for the ... Word, PowerPoint, Excel. Ability to work independently under..
Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... in the US but MUST..