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Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... complexity. Responsibilities The Care Coach Coordinator employs a variety of strategies, ... some interpretation. The Care Coach Coordinator assesses and evaluates member's needs ... Required Qualifications The Care Coach..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
... and 3) contribute as a clinical industry representative. As a leader, ... background, business acumen, and industry-standard clinical / coding guidance to ensure ... addition, the position provides supportive..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Brentwood ... on medical background and industry-standard clinical / coding guidance to ensure ... MD, Stars and Risk Adjustment..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE ... Tennessee Description This UM Administration Coordinator 2 will contribute to administration ... care equipment. The UM Administration Coordinator..
Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 1 work assignments ..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
... interaction with beneficiaries to address clinical conditions identified through Predictive Analytics ... medical care and achieve desired clinical outcomes. Responsibilities As part of ... will serve as the primary..
... Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent ... least 3 years of varied..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Brentwood Tennessee ... Tennessee Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while providing clinical..
Description The Senior Clinical Business Professional assists in the ... Organization is seeking a Sr. Clinical Practice Strategy Consultant to be ... to obtain desired productivity and clinical outcomes for..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Brentwood ... Tennessee Description The Medical Coding Coordinator 3 extracts clinical information from a variety of ... patient records. The..
Description The Integrated Model for D-SNP team is focused on delivering an integrated member experience through a multidisciplinary team. Focused on the highest risk D-SNP members, this team coordinates both inbound ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Description The UM Administration Coordinator contributes to administration of utilization ... utilization management. The UM Administration Coordinator performs varied activities and moderately ... semi-routine assignments. The UM Administration Coordinator is..
Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Description The UM Administration Coordinator 2 contributes to administration of ... utilization management. The UM Administration Coordinator 2 performs varied activities and ... The Utilization Management (UM) Administration Coordinator 2..