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... so that the patient follows medical recommendations such as increased activity ... CQI activities. Properly use prescribed medical equipment and supplies under direction ... patient. Prepare and submit activity..
Job Summary: The Universal CNA works under the general supervision of both ADHC and Home Care Supervisors. Responsibilities: Performs tasks both in the PACE Day Center and in the PACE Participant's ..
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 ..
Job Information Humana Supervisor, Credentialing in Glen Allen Virginia 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 Marketing Campaign Developer in Glen Allen Virginia Description Responsibilities The Marketing Campaign Developer supports Humana Military email and Text marketing projects as assigned. As a communications developer you ..
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 DescriptionNurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member ..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Glen Allen Virginia Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of ..
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 ..
About the Company: Holistic Expression and Consultation Services was founded in 2020. The founder experienced first hand how challenging it was to find a telehealth therapist who looked like her and ..
Job Information Humana RN Supervisor, Care Management in Richmond Virginia Description SeniorBridge is seeking a clinical leader to head a team of nurses responsible for home care management. SeniorBridge is Humana's ..
... 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 Manager, Credentialing in Glen Allen Virginia Description Responsibilities The Manager, Certifications Operations reviews the applicant's education, training, clinical experience, licensure, accreditation, certifications, professional liability insurance, and other TRICARE ..
... 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 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 Home Care Scheduling Coordinator in Richmond Virginia Description SeniorBridge is hiring an experienced Homecare Scheduling Coordinator. SeniorBridge is Humana's wholly-owned home care business acquired in 2012. We provide ..
... 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..
... 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 .....
... condition directly to the nurse supervisor. Observe patient, and conduct machine ... unusual findings to the nurse supervisor. Perform and document any intervention ... unusual findings to the nurse..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... Glen Allen Virginia Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
