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Charge RN - Lufkin ER (Full-time Nights)','Full-time','Emergency Services','Nights','Nights','72','72','Occasional','Occasional','TEXAS-LUFKIN-MEMORIAL HLTH SYS LUFKIN','','!*!Position Summary: Responsible for the delivery of quality care through the nursing process of assessment diagnosis, planning, implementation and evaluation. Collaborates ..
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Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior Health 2) will audit CPT (Current Procedural Terminology) codes to ensure correct billing under TOM (TRICARE Operations Manual) policies in accordance ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in San Antonio Texas Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and ... Humana is looking for a..
Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..
Description Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of a ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and ... courses of action. Responsibilities The..
Description The Stars Improvement Coordinator develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs all Stars quality improvement programs and initiatives. The Stars Improvement Coordinator performs varied activities ..
... the team with a Senior Nurse Auditor roles! This is a unique ... should strongly consider the Senior Nurse Auditor opportunity with Humana. Performs clinical ... - Required Qualifications..
... with a Senior Medical Coding Auditor roles! This is a unique ... consider the Senior Medical Coding Auditor opportunity with Humana. Responsibilities What ... a Superstar! - Preferred Qualifications..
... an Inpatient Senior Medical Coding Auditor roles! This is a unique ... consider the Senior Medical Coding Auditor opportunity with Humana. Responsibilities What ... AHIMA (RHIA, RHIT, or CCS)..
Description Humana's Claims Cost Management (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
