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Description The Medical Coding Coordinator 3 extracts clinical information from a variety of ... codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Coordinator 3 performs advanced administrative/operational/customer support..
Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... Demonstration). Responsibilities The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... (ACD) which includes: Coordination of services for..
... action taken in the member services department is to facilitate access ... emphasis on member advocacy and patient safety. While this associate receives ... action taken in the member..
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... The Utilization Management Nurse utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The ... with high value health care..
... that medically necessary and appropriate services and supports are in place ... decisions about the appropriateness of services provided by other healthcare professionals ... Medical Director serves as a..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Dover ... Delaware Description The Medical Coding Coordinator 3 extracts clinical information from a variety of ... codes (e.g., ICD-10-CM,..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Dover Delaware Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible for ..
... monitor, and evaluate the medical services required to meet the complex ... self-care, to cost-effectively achieve desired clinical outcomes and to enhance quality ... will serve as the primary..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Dover ... on medical background and industry-standard clinical / coding guidance to ensure ... MD, Stars and Risk Adjustment..
... Activities, including those related to patient satisfaction and actively participates in ... the recruitment process for new clinical staff. Assists with clinical orientation and on-going training of ... training..
... and 3) contribute as a clinical industry representative. As a leader, ... background, business acumen, and industry-standard clinical / coding guidance to ensure ... addition, the position provides supportive..
... Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The ... with high value health care..
Description The Medical Coding Coordinator 2 extracts clinical information from a variety of ... codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Coordinator 2 performs varied activities and..
... complexity. Responsibilities The Care Coach Coordinator employs a variety of strategies, ... that hinder effective care. Ensures patient is progressing towards desired outcomes ... desired outcomes by continuously monitoring..
... Information Humana Regional VP, Health Services (Mid-Atlantic Region) in Dover Delaware ... Description The Regional VP, Health Services relies on medical background and ... claims. The Regional VP, Health..
... of life and achieve desired clinical outcomes. As part of the ... primary point of contact and coordinator for the beneficiary for all ... for all activities within the..
... to make determinations whether requested services, requested level of care, and/or ... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations,..
... full scope of care coordination services, including comprehensive assessment completion (inclusive ... through assessments and/or evaluations. Perform clinical intervention through the development of ... to each member based on..
