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Description Responsibilities The Consultative Pharmacy Technician 3 addresses questions related to specific assigned area and assists with medication research. Triages calls that require consultation with a pharmacist. Makes outbound calls to ..
Description The Consultative Pharmacy Technician 3 certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Consultative Pharmacy Technician 3 performs advanced administrative/operational/customer support ..
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 ..
Essential Functions: Serves as both coach and mentor to staff in areas of problem solving, decision making, process improvement, and professional growth in accordance with company policies. Manages production flow 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). ..
... 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..
Job Information Humana Certified Pharmacy Technician, Remote in Memphis Tennessee Description The Consultative Pharmacy Technician 3 certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and ..
... new associate orientation, training and quality assurance/quality improvement activities. Provide clinical support ... a strong rapport with the healthcare consumer, host and community. Represent ... related to scope of..
... R.V.U. target. Success is high quality care: (1) minimal hospital admissions, ... admissions, (2) excellent preventive/chronic disease quality metrics, and (3) a great ... Tactically this includes delivering monthly..
