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... and advocacy for options and services to meet an individual's comprehensive ... Coordinate medical, behavioral and other services for beneficiaries with a primary ... care planning for beneficiaries receiving..
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... 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..
... administration of care management. Provides non-clinical support to the assessment and ... Autism Spectrum Disorder (ASD) related services in accordance with the Autism ... Service Navigator (ASN) by coordinating..
... 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..
... 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..
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..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Honolulu ... Hawaii Description The Medical Coding Coordinator 3 extracts clinical information from a variety of ... codes (e.g., ICD-10-CM,..
... 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..
... 1PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the ... Chronic Kidney Disease on the patient and family to ensure comprehensive ... Activities, including those related to..
... great emphasis on helping each patient transition their health care treatment ... and discharge management to meet clinical and service goals, and to ... management of unique and high-risk..
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..
... environment to a much more patient-centric one. As a Walgreens Pharmacy ... our customers and developing strong patient relationships. Pharmacy is the core ... using pharmacy systems to obtain..
... documentation, and communication of medical services and/or benefit administration determinations. The ... Health Facilities to obtain sufficient clinical information. The Utilization Management Behavioral ... Behavioral Health Professional 2 uses..
... this professional will manage our Patient Care Technicians in providing safe ... tasks training and monitoring all direct-patient staff including LVNs/LPNs and Dialysis ... to ensure provision of quality..
... General Nursing (7) Mental Health/Social Services (1) Nursing Support (6) Operations ... Ctr Birmingham, Alabama NEW! NEW! Patient Financial Services Representative Surgical Oncology Banner Health ... Sun City, Arizona..
... 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..
... 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,..
... 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..
