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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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... documentation, and communication of medical services and/or benefit administration determinations. The ... paper reviews to obtain sufficient clinical information. The Utilization Management Behavioral ... Behavioral Health Professional 2 uses..
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 ... with high value health care..
... 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..
... 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..
... 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..
... 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..
... 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..
... 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,..
... 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..
... 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..
... 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..
... entry level designation into the Clinical Advancement Program for Registered Nurses. ... quality improvement activities that enhance patient care outcomes and facility operations. ... under the direction of 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..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Tulsa Oklahoma Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible for ..
... entry level designation into the Clinical Advancement Program for Registered Nurses. ... quality improvement activities that enhance patient care outcomes and facility operations. ... patients and documents in the..
... 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..
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,..
... 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..
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..
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..
