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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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... Corporate Initiatives, Market Point team, Health Services Develop tracking methodology to ... nursing knowledge to promote optimal health outcomes. Identify and coordinate data ... and Retrieval Specialists, to obtain..
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..
... 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..
... activities for psychiatric and long-term medical/surgical patients. Assists physicians and nurses ... pertinent observations in the patient medical record. Assists with admissions and ... and dismissals, including delivery of..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... 2 will collaborate with other health care providers in reviewing actual ... in reviewing actual and proposed..
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..
Job Information Humana UM Medical Director - Conviva in Springfield ... in Springfield Missouri Description The Medical Director relies on medical background and reviews health claims. The Medical Director work..
... Certified Diabetes Care and Education Specialist-Remote-US in Springfield Missouri Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... that reduce risks and optimize..
... 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..
... and Waste Investigator-- REMOTE/WORK AT HOME in Springfield Missouri Description Humana ... Waste, and Abuse in the Health Care Industry? If this resonates ... Conducts on-site audits of provider..
... monitors drug development pipeline, and medical literature, while providing clinical support ... mitigate cost trend and improve health outcomes. The Associate Director, Clinical ... drug trends, both pharmacy and..
... brand for a primary care medical group practice with centers open ... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide..
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..
... 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..
... 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:..
... 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..
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...
... 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..
... 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..
