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... specific care plan and coordinates services Ensures members are receiving services in the least restrictive setting ... to meet those needs Coordinating services, and monitoring and evaluating the .....
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
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Job Information Humana Care Coach 1 - St. Johns County, FL in Saint Augustine Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain ..
Job Information Humana Nurse Auditor 2-Remote/Virtual in US in Saint Augustine Florida Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for ..
Job Information Humana OB Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish or Creole) Remote FL in Saint Augustine Florida Description The Care Management Support Assistant 2 contributes to administration of care ..
... expertise and encouragement. Enhance each patient’s future—as well as your own. ... the implementation and evaluation of patient care. Responsible for reporting and ... manner. PRINCIPAL RESPONSIBILITIES AND DUTIES:..
... Ensure the provision of quality patient care to all hospitalized patients ... contracted facilities. Ensure efficient staff/ patient scheduling and efficient staffing utilization ... technical staff. Ensure that continuing..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Saint Augustine Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Saint Augustine Florida Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Saint Augustine Florida Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Job Information Humana Care Coach 1 - Volusia/Flagler County, FL in Palm Coast Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal ..
... to ensure they receive the services they need. The Care Coach ... connecting our members with quality services to promote their ultimate well-being ... plan Ensures members are receiving..
Job Information Humana Manager, Fraud and Waste-Remote US in Saint Augustine Florida Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Saint Augustine Florida Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
... 1PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the ... Chronic Kidney Disease on the patient and family to ensure comprehensive ... Activities, including those related to..
Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Saint Augustine Florida Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy ..