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Job Information Humana Manager, Behavioral Provider Contracting in Torrance ... in Torrance California Description The Manager, of Behavioral Health Provider Contracting ... contract terms, payment structures, and reimbursement rates to..
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..
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 ..
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 ..
Immediate shifts available for clients: Located in: Whittier and surrounding areas. Also in Newport Beach. and other North Orange County communities _______ Our mission is to elevate the aging experience Perks ..
... As the Social Work Care Manager for Hoag Memorial Hospital, Newport ... Being a Social Work Care Manager means coordinating appropriate post-acute services ... As the Social Work Care..
Immediate shifts available for female clients: Located in: Newport Beach, We also have additional clients in need of caregivers in surrounding areas (10-30 minutes drives from the Whittier area). _______ Our ..
Immediate shifts available for female clients: Located in: Laguna Beach, Newport Beach, We have additional clients in need of caregivers in surrounding areas (10-30 minutes drives from the Whittier area). _______ ..
The Registered Nurse (RN) Case Manager provides care coordination which emphasizes ... of care. The RN Case Manager provides discharge planning by collaboratively ... and services. The RN Case Manager..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Torrance California Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
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 ..
Job Information Humana Manager, Behavioral Provider Contracting - Remote ... in Torrance California Description The Manager, of Behavioral Health Provider Contracting ... contract terms, payment structures, and reimbursement rates to..
The Manager of Physician Services coordinates administrative ... medical group physicians. Also, the manager communicates directly with Hoag Physician ... within the Hoag network. The manager will provide account management..
The RN Case Manager manages a continuum of care ... utilization of hospital services, maximizing reimbursement from all third party payors, ... education of medical/hospital staff about healthcare options. PIH..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... in Torrance California Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
JOB SUMMARY Lead all Medicare Advantage Risk Adjustment coding initiatives including prospective chart review and prep, retrospective chart review and audit, and provider education. Manager will coordinate with operations leaders and ..
Job Information Humana Manager, Utilization Management RN - Remote ... in Torrance California Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
