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... is seeking passionate, RN Home Care Nurse professional and leaders dedicated ... delivering the highest quality in-home care management programs to complex chronically ill ... large health plans and..
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... position with responsibility for utilization management oversight and clinical decision-making as ... as outlined in the Autism Care Demonstration (ACD) defined in the ... reviews in the delivery of..
... Lead role will assist the Supervisor in oversight & monitoring of ... and authorizations under the Autism Care Demonstration (ACD). Under direct clinical ... include data entry into medical..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Description The Supervisor, Care Management leads teams of nurses and ... behavior health professionals responsible for care management. The Supervisor, Care Management works within thorough, prescribed guidelines ... solve basic..
... experience for the ACD (Autism Care Demonstration) policy changes. Develop and ... customer experience, continuous improvement, change management, data integrity and process-level measurements. ... measurements. 10% Working with ACD..
Description The Manager, Care Management leads teams of nurses and ... behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and ... and goals...
... help members get the right care and information based on their ... a resident of a long-term care facility The Supervisor, Care Management Support will lead a team .....
... the HCOs. Responsible for network management to include network adequacy, access ... include network adequacy, access to care standards, provider relations and provider ... standards, provider relations and provider..
Description The Medical Coding Auditor Supervisor handles a combination of tasks, including extracting clinical information from a variety of medical records and assigning appropriate procedural terminology and medical codes (e.g., ICD-10-CM, ..
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 ..
... and monitoring of the Autism Care Demonstration (ACD) team performance to ... consultative assistance, participate in integrated care planning and determine way ahead. ... requested by his or her..
Description The Medical Coding Auditor Supervisor handles a combination of tasks, ... records. The Medical Coding Auditor Supervisor's work assignments are varied and ... auditor, the Medical Coding Auditor Supervisor..
Job Information Humana Supervisor, Medical Coding in San Antonio ... San Antonio Texas Description The Supervisor, Medical Coding extracts clinical information ... CPT) to patient records. The Supervisor, Medical Coding..