Healthcare Documentation Specialist Jobs in Rio Rancho

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

... 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..

Job ID 21000K4BAvailable Openings 1PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned ..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Albuquerque New Mexico Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..

Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Albuquerque New Mexico Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing ..

Posted: 02-Mar-22 Location: Albuquerque, New Mexico Salary: Open Categories: Advanced Practice Registered Nurses / Physician Assistants Internal Number: 15725825 Position Summary: Adult Urgent Care is looking to hire energetic, professional, skilled ..

... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..

Job Information Humana FP&A Lead, Medicaid Market in Albuquerque New Mexico Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..

... 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..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Albuquerque New Mexico Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and ..

... 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 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 ..

... Information Humana Medicare Risk Adjustment Documentation and Coding Improvement Educator - ... clinical suspects and appropriate clinical documentation and accurate coding. This role ... adjustment methodology gained from HCC..

Posted: 27-Feb-22 Location: Albuquerque, New Mexico Salary: Open Categories: Advanced Practice Registered Nurses / Physician Assistants Internal Number: 15615643 Position Summary: Critical Care APP Hiring for night shifts. Night stipend available. ..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Albuquerque New Mexico Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments ..

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 ..

Posted: 01-Mar-22 Location: Albuquerque, New Mexico Salary: Open Categories: Advanced Practice Registered Nurses / Physician Assistants Internal Number: 15577462 Position Summary: Internal Medicine Overnight Cross Cover The advanced practice provider nocturnist ..

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 ..

Posted: 25-Feb-22 Location: Albuquerque, New Mexico Salary: Open Categories: Advanced Practice Registered Nurses / Physician Assistants Internal Number: 15756939 Position Summary: UNMH Inpatient Stroke service is seeking a dynamic, motivated Advanced ..

... of coding practices and clinical documentation, grievance and appeals processes, and ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

Posted: 01-Mar-22 Location: Albuquerque, New Mexico Salary: Open Categories: Advanced Practice Registered Nurses / Physician Assistants Internal Number: 15600696 Position Summary: APP Hospitalist Seeking APRN/PA to join a large team of ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Albuquerque New Mexico Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare ..