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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..
... 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..
... 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..
... 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..
... 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..
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..
... 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 uses..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Montpelier Vermont Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible for ..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Montpelier ... on medical background and industry-standard clinical / coding guidance to ensure ... MD, Stars and Risk Adjustment..
... leading provider of post-acute healthcare services from short-term to long-term care ... of living options and professional clinical services. We are changing how care ... Manager/Director - RN where..
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..
... 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..
... 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..
... 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,..
... 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..
... 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..
... documentation, and communication of medical services and/or benefit administration determinations. The ... Health Facilities to obtain sufficient clinical information. The Utilization Management Behavioral ... three (3) years of post-degree..
... 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..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Montpelier ... Vermont Description The Medical Coding Coordinator 3 extracts clinical information from a variety of ... codes (e.g., ICD-10-CM,..
