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RN-Utilization Review','Full-time','RN','7am','7am','80','80','Occasional','Occasional','KENTUCKY-LEXINGTON-SAINT JOSEPH EAST','','!*!Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, ..
Supervisor, Laboratory','Full-time','Director/Manager/Supervisor','1','1','80','80','Occasional','Occasional','KENTUCKY-NICHOLASVILLE-ST JOSEPH HOSP JESSAMINE','','!*!Position Summary: Provide appropriate level of assistance and leadership for assigned staff in the department. Perform testing following established technological standards and practices. Provide direct care to ..
RN-Risk Manager','Full-time','RN','8a','8a','80','80','Occasional','Occasional','KENTUCKY-LEXINGTON-SAINT JOSEPH EAST','','!*!Position Summary: Manages risk events both proactively and reactively through a program of claims management, insurance management, education and safety . Prepares data reports for clinical patient safety ..
Division Manager Pharmacy 340B Program','Full-time','Professional Non-Clinical','1','1','80','80','Occasional','Occasional','KENTUCKY-LEXINGTON-SAINT JOSEPH ... Summary The Division 340B Program Manager leads, coordinates, and supports the ... Team, the Division 340B Program Manager works closely with Division..
Description The Community Health Worker/ Community Management Professional 1 builds visibility and credibility of organization's products and services throughout community via members face-to-face, chats, posts, and interactions. How we Value You ..
Description Humana Healthy Horizons in Kentucky is seeking a Utilization Management Nurse 2 who will utilize their clinical nursing skills to support the coordination, documentation and communication of medical services and/or ..
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 ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Lexington Kentucky Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
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). ..
Supervisor, Laboratory Services','Full-time','Director/Manager/Supervisor','1','1','80','80','Occasional','Occasional','KENTUCKY-LEXINGTON-SAINT JOSEPH HOSPITAL','','!*!Position Summary: Provide appropriate level of assistance and leadership for assigned staff in the department. Perform testing following established technological standards and practices. Provide direct care to ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Lexington Kentucky Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Description The Care Management Support Assistant 2 contributes to administration of Care Management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
... events and action thresholds. Oversees facility’s Home Therapies Program if applicable. ... to and implemented by the facility staff. Maintains integrity of medical ... collections and auditing activities. Maintains..
... in working at a newer facility that has been voted one ... under 100 beds in size.The facility offers the latest in technology ... Required.Med/Surg Experience required.Leadership experience required(Director,..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Lexington Kentucky Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... contact with patients, physicians, clinical manager(s), other members of the healthcare team in a timely manner .....
Description The SkillBridge Provider Engagement Professional 2 Intern performs varied moderately to complex operational and administrative activities and semi-routine assignments to support the Kentucky Medicaid Team. Responsibilities The SkillBridge Provider Engagement ..
