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... 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 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 Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
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..
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 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..
Description Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of a ..
... Health Medical Director will provide clinical oversight to Behavioral Health (BH) ... Behavioral Health (BH) administrative and clinical programs for TRICARE beneficiaries. They ... Essential Functions and Responsibilities Lead..
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 ..
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 ..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Lancaster ... Carolina Description The Medical Coding Coordinator 3 extracts clinical information from a variety of ... patient records. The..
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 ..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Lancaster ... on medical background and industry-standard clinical / coding guidance to ensure ... MD, Stars and Risk Adjustment..
... 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..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE ... Carolina Description This UM Administration Coordinator 2 will contribute to administration ... care equipment. The UM Administration Coordinator..
Job Information Centerwell Patient Services Coordinator in Lancaster South Carolina The ... South Carolina The Patient Services Coordinator is directly responsible for scheduling ... with weekly case conferences. Refers clinical..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Lancaster South ... Carolina Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while providing clinical..
Description The Care Management Support Assistant 2 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
... Health Full Time (Patient Services Coordinator) in Monroe North Carolina The ... North Carolina The Patient Services Coordinator is directly responsible for scheduling ... with weekly case conferences. Refers..
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 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 ..
