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Description Healthcare isn't just about health anymore. It's about caring for ... one the nation's leading integrated health companies, Humana, we put the ... make our centers a leading health..
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Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The Medical Director actively uses their..
Description The Medical Director actively uses their medical background, experience, and judgement to ... and other sources of expertise. Medical Directors will learn Medicare and ... in their daily work...
... teams to address seniors' holistic health needs, across physical, emotional, and ... and social wellness, dedicating the time, attention, and resources that seniors ... we do. The Divisional Chief..
... conducts quality assurance review of medical records and ICD-9/10 diagnosis codes that ... Competitive 401k match Generous Paid Time Off accrual Tuition Reimbursement Parent ... (Scheduler) ensures sites with..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ... East Coast hours Responsibilities The Medical Director actively uses their..
... iCare is seeking an Enrollment Specialist who will support the iCare ... BadgerCare Plus. Responsibilities The Enrollment Specialist is responsible for iCare enrollment ... members, the Wisconsin Department of..
Job Information Humana UM Medical Director - Conviva in Lancaster ... Lancaster South Carolina Description The Medical Director relies on medical background and reviews health claims. The Medical Director work..
... Waste Investigator - Work At Home (Anywhere in the US) in ... Waste, and Abuse in the Health Care Industry? If this resonates ... Conducts on-site audits of provider..
... by clinical documentation within the health record. Follows state and federal ... while analyzing coding information and medical records. Decisions are regarding the daily ... Coders are responsible for..
... The Supervisor, Pre-Authorization Nursing: Completes medical necessity and level of care ... Educates providers on utilization and medical management processes. Enters and maintains ... pertinent clinical information in various..
... Elbert, Banks, Franklin County) The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 conducts ... conducts quality assurance review of medical records and ICD-9/10 diagnosis codes that ... Competitive..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ... in-depth evaluation of variable factors. Medical Director supports the Medicaid..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... daily work. Responsibilities Job..
Job Information Humana Home Care Scheduling Coordinator- Remote in ... Coordinator. SeniorBridge is Humana's wholly-owned home care business acquired in 2012. ... of the branch, the Scheduling Specialist may be..
... Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in ... team of 20-25 nurses and medical professionals that performs the following ... that performs the following functions:..
... Certified Diabetes Care and Education Specialist-Remote-US in Lancaster South Carolina Description ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... that reduce risks and optimize..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ... East Coast hours. Responsibilities The Medical Director actively uses their..
... and Waste Investigator-- REMOTE/WORK AT HOME in Lancaster South Carolina Description ... Waste, and Abuse in the Health Care Industry? If this resonates ... Conducts on-site audits of provider..
... is acritical leadership role with full market financial oversight over the ... objectives o Responsible for identifying medical cost trends and leadership of ... cost trends and leadership of..
... order to prepare the Behavioral Health( BH) Clinical Team with the ... Experience working with the behavioral health population Excellent verbal and written ... investigative skills Excellent organizational and..