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Job Information Humana Physician - CenterWell - Atlanta, GA ... a primary care medical group practice with centers open or opening ... all. Responsibilities The Primary Care Physician (PCP) works..
Job Information Humana Care Team Medical Director in Davenport Iowa Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs for a ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
... speak with contracted external physicians, physician groups, facilities, or community groups ... upon request of the attending physician Participates in HCO MD Inter-Rater ... Development forum (TAF) Collaborates with..
Job Information Centerwell Patient Care Coordinator Home Health Full Time in Rock Island Illinois As a H ome Health Patient Care Coordinator , you will: Primarily conduct pre-discharge facility visits at ..
Description As a Physician Informaticist at Humana, you will ... functionally with other departments. The Physician Informaticist coordinates with other analytics, ... work meets clinical standards. The Physician informatacist works..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
... organization is seeking a talented Physician executive that can contribute to ... / coding guidance to ensure physician and healthcare provider plans, education, ... corporate and regional strategies for..
... requirements are met. Currently employed physician(s) in VA who met the ... full and unrestricted license to practice medicine or surgery in a ... of five years of verified..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
** NEW Opening** Full time Family Medicine Physician needed in the Eldridge, IA ... the Eldridge, IA Area! Come practice in a beautiful state of ... a Board Certified/ Board..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Davenport Iowa Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
The state's largest primary physician group is searching for a Board Certified/Eligible Family Physician to join an established group. Relocate to a dynamic community that offers diverse residential options, excellent midwestern ..
Family Practice opportunity in a vibrant, safe and charming Midwestern Iowan town, with excellent educational and recreational options. This non-profit organization of community health clinics provides high quality, affordable primary care ..
