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Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
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Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records, and reviews medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct coding ..
Multiple Wound Care (Full-Time & Part-Time) Opportunities in Northern New Jersey - Near NYC!!Group - the Standard of Excellence in Wound Care in Northern New Jersey - invites you to join ..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in Jersey City New Jersey Description The Network Operations Lead maintains provider relations to support customer service activities through data integrity management ..
Job Information Humana Utilization Management Registered Nurse, RN 2 in Jersey City New Jersey Description The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced ..
**Careers that Change Lives** Bring your talents to an industry leader in medical technology and healthcare solutions were a market leader and growing every day. You can be proud to sell ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Jersey City New Jersey Description The Medical Coding Auditor reviews medical claims submitted against medical ..
