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We are offering a $2.250 sign-on bonus for all new hires. We have an opening for first/second shift. If you are looking to make an impact in a meaningful way, join ..
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..
Job Information Humana Marketing Campaign Developer in Portland Maine Description Responsibilities The Marketing Campaign Developer supports Humana Military email and Text marketing projects as assigned. As a communications developer you are ..
... 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..
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 ..
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 ..
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..
... 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 .....
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Portland Maine Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
... 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..
