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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..
... health process improvements. They will work closely with the Quality Director, ... improvement. Senior Quality Improvement Professional work assignments involve moderately complex to ... sometimes in ambiguous situations, and..
... Senior Process Improvement Professional - Remote OH, IN, KY in Louisville ... The Senior Process Improvement Professional work assignments involve moderately complex to ... approach for project components, and..
... 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..
... Humana Senior Nursing Educator - Remote OH, IN, KY in Louisville ... personnel. The Senior Nursing Educator work assignments involve moderately complex to ... mod complex to complex issues..
... 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..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for ... for performing clinical audits on medical record documentation for quality and ... support the submitted charges. Comprehensive medical..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... managed by the Utilization Management Nurse and UM Administration Coordinator team. ... Support and collaborate with the..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... Utilization Management Behavioral Health Professional work assignments involve moderately complex to ... approach for project components, and..
... The Senior Quality Improvement Professional work assignments involve moderately complex to ... sometimes in ambiguous situations, and work is performed with minimal direction. ... objectives and approaches to assignments...
... Audit (QA) Risk Management Professional 2-Remote, US in Louisville Kentucky Description ... The Risk Management Professional 2 work assignments are varied and frequently ... areas. Makes decisions regarding own..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in ... in Louisville Kentucky Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure..
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..
... 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:..
... - EPSDT - Office / Remote KY, IN, OH in Louisville ... with state and community stakeholders. Work is guided by contractual, accreditation, ... requirements. Makes decisions regarding own..
... approach, resources, schedules and goals. #Remote-LI This is a remote job opportunity. We value associate ... leader, they guide the UM Nurse and UM Administration Coordinator teams ... and..
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..
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..
Job Information Humana Nurse Auditor 2-Remote in KY/IN in Louisville Kentucky ... in Louisville Kentucky Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical..
... Program Delivery Professional (Medicaid) - Remote, US in Louisville Kentucky Description ... Senior Quality Program Delivery Professional work assignments involve moderately complex to ... quality strategy and implementation approach...
