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Description The Manager, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... and/or benefit administration determinations. The Manager, Utilization Management Nursing..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in ... in Lima Ohio Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
... analyzes information as required by manager(s). Assists in department reporting requirements ... to perform the essential functions. EDUCATION: High School Diploma required, some ... Bilingual (Spanish and English) preferred Fresenius..
Description Humana Healthy Horizons is seekign a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The ..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Description The Manager, Risk Adjustment oversees coding educators ... and quality assurance audits of medical records and ICD-9/10 diagnosis codes ... and Medicaid Services (CMS). The Manager, Risk Adjustment works..
Job Information Humana Medicaid Project Manager-Remote in US in Lima Ohio ... Lima Ohio Description The Project Manager 2 manages all aspects of ... and within budget. The Project Manager..
Job Information Humana Care Manager, Registered Nurse, RN - Maternity, ... Ohio Description The Field Care Manager assesses and evaluates member's needs ... members. Responsibilities The Field Care Manager Nurse..
... of life. Utilizes FKC patient education programs, established social work theory ... employed, become employed or receive education. Assesses patient awareness of advance ... Trends, and Service Recovery. Patient..
Job Information Humana Senior Project Manager in Lima Ohio Description The ... Ohio Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
Job Information Humana Project Management Lead (Remote US) in Lima Ohio Description The Project Management Lead manages all aspects of a project, from start to finish, so that it is completed ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in ... in Lima Ohio Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in Lima Ohio Description The Associate Director, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of ..
Job Information Humana Senior Project Manager - Remote in US in ... Ohio Description The Senior Project Manager manages all aspects of Medicaid ... within budget. The Senior Project Manager..
Description The Medical Coding Coordinator 3 extracts clinical ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Job Information Humana Senior Learning Facilitation Professional-Remote in US in Lima Ohio Description The Senior Learning Facilitation Professional will focus on integration and implementation of training solutions for both internal and ..
... Information Humana Provider Senior Project Manager/Medicaid-Remote/Virtual in US in Lima Ohio ... Ohio Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Lima Ohio Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in ... in Lima Ohio Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
Job Information Humana Regional Community Engagement Professional 2- OHIO Remote/Field in Lima Ohio Description With a laser focus on addressing health disparities and equity, the Health Equity and Community Engagement Regional ..
Job Information Humana Project Manager 2 - Remote in US ... Lima Ohio Description The Project Manager 2 manages all aspects of ... and within budget. The Project Manager 2..