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Occupational health nursing is the specialty practice that delivers health and safety programs and services to workers and worker populations. The practice focuses on promotion and restoration of health, prevention of ..
Description The Medical Coding Auditor Supervisor handles a combination of tasks, ... information from a variety of medical records and assigning appropriate procedural terminology ... assigning appropriate procedural terminology and..
Job Information Humana Marketing Campaign Developer in Lancaster South Carolina Description Responsibilities The Marketing Campaign Developer supports Humana Military email and Text marketing projects as assigned. As a communications developer you ..
... 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 Manager, Credentialing in Lancaster South Carolina Description Responsibilities The Manager, Certifications Operations reviews the applicant's education, training, clinical experience, licensure, accreditation, certifications, professional liability insurance, and other TRICARE ..
Job Information Humana Home Care Scheduling Coordinator- Remote in Lancaster South Carolina Description SeniorBridge is hiring an experienced Homecare Scheduling Coordinator. SeniorBridge is Humana's wholly-owned home care business acquired in 2012. ..
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 ..
... and documents in the patient medical record, adjusts or modifies the ... approved algorithm(s), and documents appropriate medical justification and effectiveness. Ensures correct ... entered and acknowledged in the..
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 ..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... Lancaster South Carolina Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
... 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..
... or observations to the nurse supervisor. Evaluate vascular access for patency ... any unusual findings to nurse supervisor. Obtain necessary pre and post ... Report unusual findings to nurse..
Successful applicants for this position must be fully vaccinated against COVID-19 as a condition of employment. Vaccine verification will be required by October 1, 2021 for Corporate based team members and ..
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..
Job Information Humana Supervisor, Credentialing in Lancaster South Carolina Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising activities associated with certification and recertification of providers in the TRICARE East ..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Lancaster South Carolina Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of ..
... 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 .....
... 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..
