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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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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..
... 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..
... 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..
... 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,..
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..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Tulsa ... on medical background and industry-standard clinical / coding guidance to ensure ... MD, Stars and Risk Adjustment..
... 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..
... 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..
... SUMMARY The Hospice Care Transition Coordinator is responsible for modeling the ... stakeholders. The Hospice Care Transition Coordinator serves as a trusted resource ... systems. The Hospice Care Transition..
... SCOPE:The professional registered nurse Inpatient Services RN CAP 1 is an ... entry level designation into the Clinical Advancement Program (CAP). This position ... of appropriate tasks to direct..
... 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..
Description The Compliance (UM) Coordinator 3 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical ..
... 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..
... 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..
PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer support and ... Fresenius Medical Care (FMCNA) renal patient population (internal and external) by ... staff, and other healthcare professionals. Services..
... 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..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Tulsa ... Oklahoma Description The Medical Coding Coordinator 3 extracts clinical information from a variety of ... codes (e.g., ICD-10-CM,..
