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... the region’s largest, most comprehensive healthcare provider with hospitals located in ... and Bowling Green, Kentucky. The healthcare network of choice for thousands ... care you deserve from your..
... complexity. Responsibilities The Care Coach Coordinator employs a variety of strategies, ... care through use of assessment, data, conversations with member, and active ... some interpretation. 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 ..
... residency and fellowship programs; utilize data and feedback to make strategic ... contacts (i.e., Program Director, Program Coordinator, Chief Resident, etc.) Identify and ... Continuously gather and report out..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
... in Brentwood Tennessee Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
... regarding HEDIS and quality measurement data collection and improvement methodology for ... Qualifications Bachelor's degree in Business, Healthcare, or related field 5 years ... to perform moderate to complex..
... the analysis of situations or data requires an in-depth evaluation of ... architectural strategy Understand and analyze data pipelines, algorithms, and automated systems. ... relationships Obtain and synthesize complex..
... Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment ... ACD program. The ACD Referral Coordinator performs varied activities with a ... semi-routine assignments. The ACD Referral..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Referrals Coordinator 2 process referrals from Military ... and civilian providers. The Referrals Coordinator 2 performs varied activities and ... semi-routine assignments. Responsibilities The Referrals Coordinator 2 includes..
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..
Job Information Humana Care Coach 1 in Brentwood Tennessee Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain an optimal ..
Job Information Humana Telephonic Care Coach in Brentwood Tennessee Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain an optimal ..
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... the analysis of situations or data requires an in-depth evaluation of ... a Bachelor's degree in Business,..
Description The UM Administration Coordinator 2 contributes to administration of ... utilization management. The UM Administration Coordinator 2 performs varied activities and ... information and gathering resources and data in..
Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution in order to conduct or facilitate training courses for organization employees ..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
... Manager of Fraud and Abuse Data Analytics in Brentwood Tennessee Description ... Manager of Fraud and Abuse Data Analytics will be responsible for ... Qualifications 5 plus years of..
... in Brentwood Tennessee Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
Job Information Humana Referrals Coordinator 2 in Brentwood Tennessee Description ... Brentwood Tennessee Description The Referrals Coordinator 2 process referrals from Military ... and civilian providers. The Referrals Coordinator 2..
