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Description The Field Care Manager NP assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... and other members of the healthcare team to interpret, adjust, and ... Recommend disciplinary action to Clinical Manager and initiate as appropriate. Ensure ... the absence on the Clinical..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Description The Associate Director, Full Stack Engineering Performs software engineering activities in all layers of the stack, from setting up the database to programming in the back-end and the appearance at ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Greensboro North Carolina Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Med Technologist II - RRL Float Med Technologist II-RRL Float - Greensboro, NC - 8:00-5:00 Basic Purpose: * Under minimal supervision, incumbent(s) will consistently and accurately perform either a greater number ..
Description The Manager, Risk Adjustment oversees coding educators ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific ... schedules and goals. Responsibilities The Manager, Risk Adjustment oversees..
... to support diagnosis and home healthcare orders. Provide input to care ... Specialist, Director Clinical Management, and/or Manager Clinical Practice) of patient’s acceptance, ... care coordination skills required. Previous..
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 ..
