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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 ..
... 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..
Job Information Humana Senior Compliance Registered Nurse in Charleston West Virginia Description Humana Healthy Horizons in Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory reporting for Case Management ..
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 Strategy Advancement Advisor provides strategic direction to drive appropriate care, with the aim of reducing waste and overuse of healthcare services, while encouraging high value care. The team uses ..
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)..
Job Information Kindred at Home Care Manager RN Home Health, Full Time in Beckley West Virginia As a Home Health RN Care Manager , you will: Perform or delegate the initial ..
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 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 ..
... 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..
... 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..
Job Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management in Charleston West Virginia Description Humana Healthy Horizons in Ohio is seeking a Utilization and Case Management Clinical Auditors. ..
Job Information Humana Director, Behavioral Health Strategy in Charleston West Virginia Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..