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Job Information Humana Medicaid Associate Director, Compliance Nursing in Newport Rhode Island Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..
Description Humana's recently created Clinical Resource Team is looking to grow the team with an Inpatient Senior Medical Coding Auditor roles! This is a unique team that's primary role is to ..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Medical Coding Auditor roles! This is a unique team that's primary role is to quickly ..
Description The Nurse Auditor 2 performs clinical audit/validation processes ... support optimal reimbursement. Responsibilities The Nurse Auditor 2 validates and interprets medical ... Required Qualifications BSN Active Registered Nurse (RN)..
Description The Nurse Auditor 2 performs clinical audit/validation processes ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied ... courses of action. Responsibilities The Nurse Auditor..
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 ..
Job Information Humana Director, Behavioral Health Strategy in Newport Rhode Island Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..
... looking for a dynamic Registered Nurse to join the team working ... overpayments when they happen. The Nurse Auditor 2 validates and interprets medical ... Qualifications Associate's Degree Active..
Description The Compliance Nurse 2 reviews utilization management activities ... waste, and abuse. The Compliance Nurse 2 work assignments are varied ... courses of action. The Compliance Nurse 2 will..
Description The Nurse Auditor 2 performs clinical audit/validation processes ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied ... Humana is looking for a Nurse Auditor..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Newport Rhode Island Description The Risk Management Professional 2 identifies and analyzes potential sources ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
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 ..
... 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..
Description The Nurse Auditor 2 will work on the ... clinical lab audit concepts. The Nurse Auditor 2 will perform clinical audit ... fraud, waste, and abuse. The Nurse Auditor..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in ... Newport Rhode Island Description The Nurse Auditor 2 performs clinical audit/validation processes ... to support optimal reimbursement. The Nurse..
... The SIU and PPI Lab review team is seeking a Medical ... is seeking a Medical Coding Auditor with a special set of ... focus on coding and clinical..
Description The Nurse Auditor 2 performs clinical audit/validation processes ... support optimal reimbursement. Responsibilities The Nurse Auditor 2 validates and interprets medical ... guidelines/procedures. Required Qualifications Active Registered Nurse (RN)..
