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... the global leader in dialysis healthcare, we form bonds that enable ... a member of the interdisciplinary healthcare team, supporting the FMCNA commitment ... guidelines. Maintains complete and accurate..
Coding Specialist We have exciting employment opportunities ... Position Summary The HIM Coding Specialist will handle medical coding and ... and procedure codes based upon documentation in the medical record..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Job Description The dedication of talented and caring health care professionals drives the delivery of high quality, cost effective products and services. They make it possible for members to get the ..
... Certified Diabetes Care and Education Specialist-Remote-US in Chicago Illinois Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
Job Information Humana Medicare Appeals and Grievance Medical Director in Chicago Illinois Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
... complete and accurate data and documentation are available to make recertification ... through making field visits, evaluating documentation and providing team based in ... for staff re clinical issues,..
... is the premier home based healthcare provider and medical services company. ... improve outcomes and reduce total healthcare costs. We are a group ... neededComplete appropriate and thorough clinical..
GENERAL SUMMARY The therapist is responsible for providing psychotherapy and other treatment services that affirm clients' strengths, broaden their problem-solving abilities, and increase their self-knowledge. ESSENTIAL FUNCTIONS AND DUTIES: Conduct psychotherapeutic ..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
... is looking for an experienced Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... areas Bachelor's degree or significant..
... and accuracy of medical record documentation. Complete admission reviews and assign ... are entered in the Clinical Documentation Improvement database. Initiate and maintain ... the medical record. Collaborate with..
... is looking for an Account Specialist IBeing a colleague on an ... solutions as part of our Healthcare Industry Account Management business group ... Risk Solutions. As an Account..
Job Information Humana FP&A Lead, Medicaid Market in Chicago Illinois Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Chicago Illinois Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
Job ID 21000N3UAvailable Openings 1Position Specific Information This position is for the West Belmont clinic PURPOSE AND SCOPE: Supports FMCNA’s mission,vision, core values and customer service philosophy. Adheres to the FMCNA ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Chicago Illinois Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive engages in strategic negotiation and relationship-building with a variety of ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... Qualifications Bachelor's degree or significant..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
