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Description The RN, Compliance Nurse 2 reviews utilization management ... waste, and abuse. The RN Compliance Nurse 2 work assignments are ... of action. Responsibilities The RN Compliance Nurse 2..
Job ID 21000LJWAvailable Openings 1 PURPOSE AND SCOPE: Ensure the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company policy. Provides direct ..
Job ID 21000KFSAvailable Openings 1DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well as your own. Connect with ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Posted: 25-Feb-22 Location: Palm Coast, Florida Salary: Open Categories: General Nursing Internal Number: 21037816 Description Registered Nurse Progressive Care Unit AdventHealth Palm Coast Location Address: 60 Memorial Medical Parkway Palm Coast, ..
Posted: 02-Mar-22 Location: Palm Coast, Florida Salary: Open Categories: General Nursing Internal Number: 22007838 Description Registered Nurse Ambulatory Surgery AdventHealth Palm Coast Town Center Surgery Location Address: 21 Hospital Dr, Palm ..
Description Student Nurse Technician AdventHealth Location Address: Top Reasons To Work At AdventHealth Join a Faith-Based, Non-Profit Healthcare Organization Gain Experience in the Hospital and Network with Nursing Staff Determine Area ..
Job Information Humana Quality Improvement Coordinator in Saint Augustine Florida Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Posted: 01-Mar-22 Location: Palm Coast, Florida Salary: Open Categories: General Nursing Internal Number: 22007956 Description Office Licensed Practical Nurse LPN Pediatrics Location Address: 61 MEMORIAL MEDICAL PARKWAY, Palm Coast, 32164 Top ..
Job Information Conviva Physician - Conviva - Palm Coast in Palm Coast Florida Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care ..
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 Community Health Worker in Palm Coast Florida Description The Community Health Worker contributes to the administration of Care Management and Utilization Management. The individual in this role provides ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
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 Senior Provider Contracting Professional - Remote (EST Hours) in Saint Augustine Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
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 ..
Posted: 02-Mar-22 Location: Palm Coast, Florida Salary: Open Categories: General Nursing Internal Number: 22007828 Description Registered Nurse Ambulatory Surgery AdventHealth Palm Coast Town Center Surgery Location Address: 21 Hospital Dr, Palm ..
