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... Professional requires being both a nurse/RN and a certified Coder nurse as this position will be ... will be cross trained to review DRG (Diagnosis Related Group) audits .....
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Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied and frequently ... courses of action. Responsibilities..
Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical record documentation and diagnosis coding ... to support optimal reimbursement. The Nurse Auditor 2 work..
Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical record documentation and diagnosis coding ... support optimal reimbursement. Responsibilities The Nurse Auditor 2 validates..
... Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the ... team of 20-25 nurses and medical professionals that performs the following ... that performs the following functions:..
... Culture is where the great work and innovations of our people ... employee experience, focusing on People, Work, and Conditions. This results in ... bringing their authentic selves to..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in ... in Phoenix Arizona Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure..
... Program Delivery Professional (Medicaid) - Remote, US in Phoenix Arizona Description ... Senior Quality Program Delivery Professional work assignments involve moderately complex to ... quality strategy and implementation approach...
... the team with a Senior Nurse Auditor roles! This is a ... The team floats to the work, as assigned, and helps their ... should strongly consider the Senior..
... Audit (QA) Risk Management Professional 2-Remote, US in Phoenix Arizona Description ... The Risk Management Professional 2 work assignments are varied and frequently ... areas. Makes decisions regarding own..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional ... in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional ... of variable factors. Responsibilities The RN, Senior Stars..
... medication cost and utilization and nurse support. Location : Remote USA Travel: Up to 40% ... client and branches (i.e., utilization review calls, clinical education, IDG, etc.) ... utilization..
... way? If you desire a remote nursing position with daytime hours ... daytime hours and no on-call work this position may be for ... position may be for you!u003c/emu003eu003c/pu003enu003cpu003eThe..
Description The Nurse Auditor 2 will work on the clinical research and ... clinical lab audit concepts. The Nurse Auditor 2 will perform clinical ... and validation processes to ensure..
... Clinical Strategy and Practice Professional work assignments involve moderately complex to ... guidelines and policies and completing medical necessity review and level of care review for requested services. Educate..
