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HCS INFORMATION SECURITY ANALYST SENIOR - EMR & CLINICAL DATA ENVIRONMENTS - IT SECURITY','INF0037F','!*!This position may involve support of various hospitals and health care systems within the UNC Health Care System, ..
HCS DIRECTOR PATIENT ACCESS - MEDICAID ELIGIBILITY','OTH01Q2C','!*!Manage Medicaid eligibility enrollment of all Medicaid programs statewide. Reviews work of eligibility review staff for quality assurance. Plans, develops, implements and monitors comprehensive Medicaid ..
RN NURSING COORDINATOR - CHILDREN'S SUPPORT SERVICES','CLI00CF2','!*!RN Coordinator needed for UNCH Children's Rheumatology & Clinical Immunology clinics. This is a 40 hours/week, STATE BENEFITED, Exempt status position located in the Children’s ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Charlotte North Carolina Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..
Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ..
Full-time Faculty, Nursing (9 3 month) Full-time Faculty, Nursing (9 3 month) Employer Rockingham Community College 215 Wrenn Memorial Road Wentworth, NC 27375 Phone: 336-342-4261 Salary/Grade Commensurate with experience Benefits Yes ..
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 ..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization, with a focus on oncology requests. The Oncology ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
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 ..
Description Join Humana's Talent Acquisition organization to support our growing Healthcare Services division! The Senior Physician Recruiter recruits qualified physicians for medical staff and assists in development of strategic physician recruitment ..
Description Assist with maintenance of Automated Dispensing Systems (ADS) servers/consoles in support of DEA- and Board of Pharmacy (BoP)-compliant remote medication dispensing in Hospice IPU settings. Support implementation project management. Assist ..
Job Information Humana Staff RX Clinical Programs Oncology Pharmacist in Charlotte North Carolina Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices ..
Description The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's ..
... in the fast-paced industry of healthcare, we offer our associates career ... impact on the future of healthcare, Humana has the right opportunity ... Qualifications Bachelor's degree in Business,..
Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..
Description The Supervisor, Care Management Support 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 wellness ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..