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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 ..
Job ID 21000LWUAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
... positive adjustment, rehabilitation and improved quality of life for our patients. ... and family to ensure comprehensive quality care of our patients. Supports ... Care (FKC) commitment to the..
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). ..
Job Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother Baby (Ohio Medicaid) in Lima Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager ..
Description The Medical Coding Coordinator 2 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 Humana Healthy Horizons in Ohio is seeking Managers of Care Management (Physical Health & Behavioral Health) who will lead our physical or behavioral health care management operations and staff to ..
Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Lima Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, ..
Description The Senior Quality Compliance Nurse Professional is an ... integral part of the Ohio Quality Improvement Department. This role will ... sensitive projects. Responsibilities The Senior Quality Compliance Nurse..
Description The Quality Compliance Professional 2 completes annual ... Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments ... courses of action. Responsibilities..
Description Humana Health Horizons in Ohio is seeking Field Care Managers, Behavioral Health 2 who will assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by ..
Ascend National Healthcare Staffing is seeking an experienced ... Pay: $3042/Week About Ascend National Healthcare Staffing: Ascend National Healthcare Staffing, formerly known as Texas ... and Radlink Supplemental Staffing, provides..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
Hospital employment, loan forgiveness, and generous PTO: you may have heard these job details before. However! Based on prior experience with this client, I can tell you that you will be ..
Job Information Humana Care Manager, Registered Nurse, RN - Maternity, L&D, Mother Baby in Lima Ohio Description The Field Care Manager assesses and evaluates member's needs and requirements to achieve and/or ..
Job Information Humana Care Manager, Registered Nurse, RN in Lima Ohio Description Humana Healthy Horizons in Ohio is seeking a Field Care Manager to assess and evaluate member's needs and requirements ..
Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..
... to support the delivery of high-quality care management services, including introducing ... to meet care and service quality objectives. Support orientation and training ... and facilities/agencies to assure optimal..
Job Information Humana Care Manager, Licensed Behavioral Health Professional or Registered Nurse in Lima Ohio Description The Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses and evaluates member's ..
Job Information Humana Quality Improvement Coordinator in Lima Ohio ... in Lima Ohio Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
