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Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
Description The Manager, Provider Contracting manages a team of dental recruiters that initiates, negotiates, and executes dental provider contracts and agreements in alignment with the specialty growth strategy. The manager provider ..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... in Anchorage Alaska Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Anchorage Alaska Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Description The Care Management Support Assistant 2 contributes to administration of Care Management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Job Information Humana Manager, Utilization Management RN - Remote ... in Anchorage Alaska Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
**Providence is calling an Speech Language Pathologist (Speech Therapy, Day Shift, 0.0 FTE, On Call) at St. Elias Specialty Hospital in Anchorage, Alaska. We are a community of caregivers delivering every ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Anchorage Alaska Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
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 ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Anchorage Alaska Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Anchorage Alaska Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..
... Category Registered Nurse Profession Case Manager Specialty Shift 12 D/E/N Duration ... Case Management Nurse - Case Manager - Travel - (CM RN) ... a collaborative process, the case..
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 ..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Anchorage Alaska Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..
Job Information Humana Director, Provider Contracting - Behavioral Health Medicaid in Anchorage Alaska Description The Director, Provider Contracting - Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider ..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
Description The Medical Coding Auditor 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 Coding ..
**Providence is calling a Registered Nurse (RN) Manager -** **Long Term Care (Nursing Administration, Day Shift, 1.0 FTE) to Providence Extended Care in Anchorage, Alaska.** **We are a community of caregivers ..
**Providence is calling a Physical Therapist (Acute Physical Therapy, Day Shift, 1.0 FTE - 40 hours per week) Providence Seward Medical Center in Seward, Alaska. We are a community of caregivers ..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..
Description The Director, Provider Reimbursement is responsible for the leadership, ... execution of Humana Military's provider reimbursement methodologies. This leader is responsible ... payment system software, and provider-specific reimbursement factors..