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Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
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 ..
... 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..
... 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..
... goals and change liveswith Fresenius Medical Care North America.Here, we make ... When you join the Fresenius Medical Care team, you'll be welcomed ... advantages include the following: Fresenius..
Job Information Humana Supervisor, Credentialing in Tulsa Oklahoma Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising activities associated with certification and recertification of providers in the TRICARE East Region. ..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Tulsa Oklahoma Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. 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 ..
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 ..
PURPOSE AND SCOPE:Functionsas part of the Inpatient Services Hemodialysis Health Care team in providing safe and effective dialysis therapy for assigned patients inaccordance with FMCNA policies, procedures, and training and in ..
... 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 .....
... 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..
We are looking for a compassionate and dependable Certified Nurse Aide to provide care for our Health Center residents in accordance with an established care plan and under the direction of ..
Job Information Humana Manager, Credentialing in Tulsa Oklahoma Description Responsibilities The Manager, Certifications Operations reviews the applicant's education, training, clinical experience, licensure, accreditation, certifications, professional liability insurance, and other TRICARE requirements ..
... and documents in the patient medical record, adjusts or modifies the ... plan as indicated and notifies Supervisor or Physician as needed. Recognizes ... approved algorithm(s), and documents appropriate..
... 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..
Details Department: Case Management Schedule: PRN - Day Shift. Every other Saturday and Sunday, 8:00am - 4:30pm Facility: Ascension St. John Medical Center Location: Tulsa, OK Benefits Paid time off (PTO)Various ..