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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed!..
Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
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 ..
... Responsibilities: As Product Application support manager, your responsibilities will be to: ... Supervise and optimize the customer remote support regarding the clinical questions Establish and maintain strong ... Be..
Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Shreveport Louisiana Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ..
Job Information Humana Nurse Auditor 2-Remote/Virtual in US in Shreveport Louisiana ... The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... you love auditing and investigating clinical/coding..
Job Information Centerwell RN Care Manager - Shreveport Bossier City Clinic ... The practices also provide health education and value-added, well-being services at ... for all. The RN Care Manager..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Shreveport Louisiana Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
... meet enrollee transportation, food insecurity, education, and employment needs, among other ... to verify contact information, conduct non-clinical surveys, and offer CM services. ... the provision of culturally-appropriate health..
Job Information Humana Manager, Fraud and Waste-Remote US in Shreveport Louisiana Description ... in Shreveport Louisiana Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The..
... to NCQA documentation standards, BH Clinical Practice Guidelines and Louisiana Department ... to conduct on-site audits, provider education, and collaboration with BH community ... reviews, member interview and provider..
... Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in Shreveport Louisiana ... a comprehensive analytic review of clinical documentation to determine if an ... trained skillsets and/or partnerships with..
... Information Humana Fraud and Waste Investigator-Remote in US in Shreveport Louisiana ... are fortunate to offer a remote opportunity for this job. Our ... excellent professional development & continued..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Shreveport Louisiana Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Job Information Humana Consumer Experience Lead-Remote in US in Shreveport Louisiana Description The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works on problems ..
... administration of care management. Provides non-clinical support to the assessment and ... and promote prevention and health education that is tailored to the ... provision of culturally appropriate health..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Shreveport Louisiana Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana MEDICAL CODINGCOORDINATOR 3-Remote/Virtual in US in Shreveport Louisiana Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..