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... dialysis staff, physicians and other healthcare professionals. Services are generally provided ... other members of the patient’s healthcare team, to develop an individualized ... programs which require the case..
Job Information Humana Nurse Auditor 2-Remote/Virtual in US in Baltimore Maryland Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services ..
What You Will Do: Nurse Manager (RN) - Children's Heart Program ... seeking candidates for a Nurse Manager (RN) to join our nursing ... diagnoses. The Children's Heart Program Manager..
Description You have the unique opportunity to build a technology team for one of the fastest-growing e-commerce companies in the Clinical care management and make a difference in our members' lives. ..
What You Will Do: General Summary Under limited supervision develops, analyzes, reports and interprets complex financial information to assist management in evaluating and executing the organization's business plans in compliance with ..
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 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 ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in Annapolis Maryland The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, ..
What You Will Do: Under direct supervision accurately codes hospital Ambulatory Surgery and Observation visit records for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according ..
Job Information Kindred at Home Home Health Baylor Admissions RN in Towson Maryland The Clinical Assessment Advisor - Baylor directly completes and oversees development/ of the plan of treatment as approved ..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Description The Associate Director, Full Stack Engineering Performs software engineering activities in all layers of the stack, from setting up the database to programming in the back-end and the appearance at ..
Job Information Humana Bilingual Quality Auditor in Baltimore Maryland Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
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 Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager, Registered ..
What You Will Do: Main Function: Under general supervision of the Program Manager, coordinates the scheduling of all outpatients for the Outpatient Behavioral Health Center. Obtains pre-authorizations and concurrent authorizations for ..
What You Will Do: Community Health Nurse Coordinator Full time, M-F 8a-4p Glen Burnie, MD The Community Health Nurse Coordinator works to build healthy community principles and the nursing process to ..
Job Information Centerwell RN Admissions Home Health Full Time in Towson Maryland The Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by physician, performs ..
