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Medical Assistant Primary Care - FT 1.0 Department: Primary Care Clinics Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Perform administrative and clinical duties under the direction of ..
RN Interventional Radiology - FT 1.0 Department: Surgical Services Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Independently promote and restore patients' health through direct nursing care to ..
... concurrent reviews to identify documentation improvement opportunities according to CMS and ... for diagnosis code selection Educate healthcare provider, coder and/or office staff ... long-term, self-sustaining solution for the..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
... Risk Adjustment Documentation and Coding Improvement Educator - CO/NM WAH - ... Coder (CPC) or Certified Coding Specialist (CCS) or willingness and ability ... providers to participate in performance..
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 ..
Description The RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..
... We are the future of healthcare and our mission is to ... will help members through their healthcare journey, ensuring they get the ... are: Passionate about transforming our..
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 ..
... the global leader in dialysis healthcare, we form bonds that enable ... a member of the interdisciplinary healthcare team, supporting the FMCNA commitment ... and Quality Assessment and Performance..
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 ..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Description The Staff Clinical Pharmacist is an integral part of the Clinical Drug Policy Management team which ensures synchronization of formulary utilization management policies across multiple systems. Humana is seeking a ..
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 The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Job Information Humana Actuary, Risk and Compliance in Albuquerque New Mexico Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare ..
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 ..
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 ..
POSITION SUMMARY:Working under the direction of the Director of Nursing or RN designee, the LPN Nurse Practice Educator functions as a practitioner, consultant, educator and facilitator for all nursing staff focusing ..
