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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 ..
... individual contributor will have significant project/process responsibilities. Program or project responsibility generally within the function. ... effort among members of a project team. Interacts with internal departments ... experience...
... as assigned by the Program Manager. The Inpatient Services Charge Nurse ... needed or directed by Program manager. Assumes the provision of quality ... may escalate issues to Program..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Springfield Ohio Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
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 Regional Community Engagement Professional 2- OHIO Remote/Field in Springfield Ohio Description With a laser focus on addressing health disparities and equity, the Health Equity and Community Engagement Regional ..
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..
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 ..
POSITION FEATURES:This is a full time RN for our surgery center in Moraine, OH.The center is open Monday through Friday 7:30am to 4:00pm. No eveings, weekends or Call.You will need 3+ ..
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 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 ..