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Job Information Humana UM Medical Director - Conviva in Pittsburgh ... in Pittsburgh Pennsylvania Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
... visit. Ensures adequate inventory of medical supplies. Ensures all patient treatment ... Accurately performs lab controls and equipment checks as assigned. Administers and ... Proof of graduation from a..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..
Description The Medical Records Retrieval Representative travels to ... within the region and scans medical records into a secure system. ... Humana's Coding staff. Responsibilities The Medical Records Retrieval Representative..
... our patients expectations. Our neighborhood medical centers are open every day ... from 8-8 with a full medical team and no appointments necessary ... lifes best work.(sm) As a..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
Description Job Description Summary The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization ..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors Responsibilities The..
Description The Medical Coding Coordinator 2 will process ... based on software recommendation. The Medical Coding Coordinator 2 reviews submitted ... Coding Coordinator 2 reviews submitted medical records to determine..
Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
Description The Behavioral Health Medical Director responsible for behavioral health ... and/or operations. The Behavioral Health Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health Medical Director..
... UPMC Presbyterian is hiring a Medical Lab Scientist ( Medical Technologist) or Medical Lab Technician to support the ... two years in a row. Medical Lab Technician Sign-On Bonus..
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,..