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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..
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... review team is seeking a Medical Coding Auditor with a special ... review information provided in the medical records they must understand what each ... it should represented in..
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...
The Special Educator - Elementary Autism Program will operate the district's new Autism and Intensive Special Needs program at Edmunds Elementary School. This position is a unionized position affiliated with the ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Montpelier Vermont Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
... at home and receive the medical care required. Registered Nurse (RN) ... and reliability. Benefits may include medical, dental, vision, and life insurance; ... year of recent, verifiable clinical..
Burlington School District SPECIAL EDUCATOR VACANCY Burlington Early Education Program The Burlington Early Education Program is seeking a substitute Early Childhood Special Educator to provide services to young children in an ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Montpelier Vermont Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... East Coast hours. Responsibilities The..
... Position Summary The HIM Coding Specialist will handle medical coding and data entry / ... based upon documentation in the medical record Correctly assign modifiers to ... contract and..
The Autism Resources Specialist (K-5) provides support in diagnostic assessments; identifies needs and assists in the program planning for students with Autism Spectrum Disorder (ASD) and works to build sustainable practices ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... East Coast hours Responsibilities The..
POSITION SUMMARY:Working under the direction of the Director of Nursing or RN designee, the LPN Nurse Practice Educator functions as a practitioner, consultant, educator and facilitator for all nursing staff focusing ..
Description Risk Adjustment Coders are responsible for reviewing medical records, completing multiple audits, and special projects. Associates in this role work collaboratively with other departments. Responsibilities The Risk Adjustment Coder ensures ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Job Information Humana UM Medical Director - Conviva in Montpelier ... in Montpelier Vermont Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
... Information Humana Manager, Pharmacy and Medical Trend in Montpelier Vermont Description ... drug trends, both pharmacy and medical, as well as the impact ... Humana profitability. Responsibilities Lead our..
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 Genetic Counselor (Board Certified)-Remote/Virtual in US in Montpelier Vermont Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... in reviewing actual and proposed medical care and services against established ... against established CMS and Humana..
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..