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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in St Cloud Minnesota Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy ..
ESSENTIAL DUTIES AND RESPONSIBILITIES: Perform Drug and Alcohol screenings for applicants. Conduct Hearing testing for applicants. Conduct medical assessment for applicants. Document and enter details of occupational health visits into Cority. ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Job ID 21000LZ2Available Openings 2Position Specific Information SIGN ON BONUS: $2500 - no experience in dialysis needed, on the job paid training! $5000 – experienced CCHT PURPOSE AND SCOPE: Supports FMCNA’s ..
Job ID 21000LZJAvailable Openings 1Position Specific Information $5,000 – no dialysis experience required. We provide paid dialysis training! PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
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 ..
Job ID 21000LZRAvailable Openings 1Position Specific Information SIGN ON BONUS: $2500 - no experience in dialysis needed, on the job paid training! $5000 – experienced CCHT PURPOSE AND SCOPE: Supports FMCNA’s ..
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 ..
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 ..
Job Information Humana Quality Improvement Coordinator in St Cloud Minnesota Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in St Cloud Minnesota Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
