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... coordination, documentation and communication of medical services and/or benefit administration determinations. ... maintain all activities and processes necessary to maintain compliance with NCQA ... providers throughout the region. Weekly..
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..
... goals and change liveswith Fresenius Medical Care North America.Here is your ... Fresenius Team?Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities ... When you join the Fresenius..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... right questions and interpret complex medical..
... Quality Compliance Professional 2 completes medical records reviews for Coordination of ... corrective actions as needed. Reviews medical records for supplemental data and ... Required Qualifications Associate Degree Registered..
... looking for a dynamic Registered Nurse to join the team working ... guidelines, enjoys researching and reviewing medical record documentation for incorrect billing ... who applies clinical and coding..
Job Information Humana Senior Medical/Financial Risk Clinical Professional in San ... Puerto Rico Description The Senior Medical/Financial Risk Clinical Professional is responsible ... development, implementation and monitoring of medical/financial risk...
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... right questions and interpret complex medical..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... administration determinations. The Utilization Management Nurse 2..
... and change lives with Fresenius Medical Care North America. Here is ... Team? Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities ... When you join the Fresenius..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... seeking a dedicated, compassionate, and experience - Utilization Management RN Manager ... OR Provide documentation for a..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... patients throughout their care continuum. Experience working within a Value Base ... and a monthly guarantee *..
... team of 20-25 nurses and medical professionals that performs the following ... that performs the following functions: medical necessity/level of care reviews, provider ... education on the utilization and..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... Behavioral Health Professional 2 completes medical record reviews from medical records sent from Behavioral Health ... appropriate..
