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... 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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... 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..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Fargo ... on medical background and industry-standard clinical / coding guidance to ensure ... MD, Stars and Risk Adjustment..
... 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,..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Fargo ... Dakota Description The Medical Coding Coordinator 3 extracts clinical information from a variety of ... codes (e.g., ICD-10-CM,..
... 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..
... Behavioral Health Nurse 2 utilizes clinical nursing skills to support the ... and communication of behavioral health services and/or benefit administration determinations. The ... Behavioral Health Nurse 2 utilizes..
... 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..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Fargo North Dakota Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible ..
... Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ... (EFMP), auditing for quality and clinical compliance, and case management. Serve ... documentation. Complete required audits of..
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..
... Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The ... individuals. Our leaders are passionate..
... 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..
... Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The ... Utilization Management Nurse 2 uses..
... Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The ... Manager, Utilization Management Nursing uses..
... care combined with an excellent patient experience. CenterWell Senior Primary Care ... health education and value-added, well-being services at the centers and around ... Care, is seeking a Care..
... 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..
... documentation, and communication of medical services. Enjoy the flexibility of Work-At-Home, ... least three (3) years of clinical experience. Responsibilities This department is ... Health Facilities to obtain sufficient..
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..
... Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The ... to grow, the National Medicaid..
... 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..
