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Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
... systems with corrections to provider records and verify updates are complete. ... internal correspondence control numbers. Request medical records. Print and prepare audit folders. ... tracking system. 15% Research..
... for performing clinical audits on medical record documentation for quality and ... support the submitted charges. Comprehensive medical records review will be conducted on ... other duties as assigned..
... from the vaccine requirement for medical reasons, sincerely held reasons of ... periodically as determined by the supervisor. Perform testing, interpret and record ... Required Education Bachelor's Degree in..
Job Information Humana Manager, Credentialing in Cincinnati Ohio Description Responsibilities The Manager, Certifications Operations reviews the applicant's education, training, clinical experience, licensure, accreditation, certifications, professional liability insurance, and other TRICARE requirements ..
... As one of the oldest medical schools in the country, the ... system and Cincinnati Children's Hospital Medical Center, College of Medicine's doctors ... With world-class research, teaching and..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Cincinnati Ohio Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
Job Information Humana Marketing Campaign Developer in Cincinnati Ohio Description Responsibilities The Marketing Campaign Developer supports Humana Military email and Text marketing projects as assigned. As a communications developer you are ..
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 Manager of Fraud and Abuse Data Analytics in Cincinnati Ohio Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of the ..
CURRENT UC EMPLOYEES MUST APPLY INTERNALLY VIA SUCCESSFACTORS > HTTP://BIT.LY/UCEMPL Founded in 1819, the University of Cincinnati embarks upon its third century - building on the past and defining the future ..
WalgreensnJob DescriptionHERO Program SummaryThe Walgreens HERO Program keeps our nation's heroes in mind - with an opportunity for veterans to transition their leadership experience into the civilian world. Through this program, ..
... 2 includes data entry into medical management system, assigning an appropriate ... provider, reviewing for benefits, and/or medical necessity as required or pending ... pending to a nurse or..
Job Information Humana Supervisor, Credentialing in Cincinnati Ohio Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising activities associated with certification and recertification of providers in the TRICARE East Region. ..
Current UC employees must apply internally via SuccessFactors > http://bit.ly/UCEMPL Founded in 1819, the University of Cincinnati embarks upon its third century - building on the past and defining the future ..
Job Description Day in the Life: • Ensure all medication needs and regulatory compliance standards are met for our patients, and they demonstrate ethical conduct and always maintain patient confidentiality. • ..
... under the direction of the Supervisor and with guidance from the ... and documents in the patient medical record, makes adjustments and modifications ... plan as indicated and notifies..
... Business Support Coordinator 1 performs medical record content analysis to ensure ... stage for final distribution all medical records received into the Medical Record Review Department. Analyze content .....
CURRENT UC EMPLOYEES MUST APPLY INTERNALLY VIA SUCCESSFACTORS > HTTP://BIT.LY/UCEMPL YOU ARE INVITED TO SUBMIT AN APPLICATION TO BE CONSIDERED FOR ONE OF MULTIPLE VACANCIES OF THE SAME POSITION. Founded in ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization ... to the appropriate stakeholder. The Supervisor, Pre-Authorization Nursing works within thorough, ... and analytical approach. Responsibilities The Supervisor, Pre-Authorization Nursing: Completes..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions ..
... accurately. • Partner with function supervisor to coordinate workflow for assigned ... accurately. • Partner with function supervisor to coordinate workflow for assigned ... from the vaccine requirement for..