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... processes of medical and allied healthcare professionals per CPC policy and ... issue and physician response Advise Manager and/or Director of questionable information ... projects as requested #ParallonBCOM ','!*!EDUCATION•..
Description The Senior EAP Onsite Counselor provides ongoing and crisis intervention focused on the emotional, social, vocational, educational, health-related, developmental, and organizational concerns that impact daily lives. The Senior Counselor work ..
Description The Field Care Manager Nurse 2 assesses and evaluates ... of members. The Field Care Manager Nurse 2 work assignments are ... appropriate courses of action. Responsibilities Healthcare isn't..
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 CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
Job Information Humana Member Outreach Specialist in Jacksonville Florida Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life ..
Description The Associate Director, Full Stack Engineering Performs ... appearance at the front-end. The Associate Director, Full Stack Engineering requires ... for one of the leading healthcare organizations. Reporting to..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
... in Florida is seeking an Associate Director, Care Management leads teams ... responsible for care management. The Associate Director, Care Management requires a ... interrelate across department(s). Responsibilities The..
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 ..
... in Florida is seeking an Associate Director, Care Management who will ... responsible for care management. The Associate Director, Care Management requires a ... interrelate across department(s). Responsibilities The..
PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FVC/FMCNA Compliance Program, including following all regulatory and FVC/FMS policy requirements. Provides direct nursing care ..
Description Are you passionate about contributing to the well-being of the Medicare population? Would you like to provide support to an active and fast-paced team of sales professionals? If so, the ..
Job ID 21000N55Available Openings 1Position Specific Information Overview: This outpatient surgery RN will be working in an Ambulatory Surgery Center performing Perioperative procedures. Location: Azura Vascular Care Jacksonville 2416 Dunn Ave ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Jacksonville Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
... role you will support a Manager of Sales Administration, Senior Manager of Medicare Sales, a Director ... job as we are a healthcare company committed to putting health .....
Description The Field Care Manager Nurse 2 assesses and evaluates ... of members. The Field Care Manager Nurse 2 work assignments are ... of action. Responsibilities Job Description Healthcare isn't..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Jacksonville Florida Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
