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... Kidney Disease (CKD) health care team, the CAP RN 1 participates ... or collaborates with appropriate health team members for input. Assesses assigned ... through collaboration with the Interdisciplinary..
Job ID 21000NEJAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
TeamHealth is seeking a qualified psychiatric mental health nurse practitioner (PMHNP) in the Naples, Florida, area to join our behavioral health team. This position will be inpatient behavioral health rounding within ..
... Florida Description Humana's Corporate Stragtegy team is a high-performing organization that ... Planning functions. The Strategy Operations team provides consulting services to Humana's ... As a member of this..
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 ..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
... $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished leader to join our team in the newly-created role..
Job Information Humana Quality Improvement Coordinator in Naples Florida Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..
Job Information Humana Manager, Fraud and Waste-Remote US in Naples Florida Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
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 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 Lead Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Lead Cloud Architect works on problems of diverse scope and ..
... Minimum of 2 years of healthcare operations management experience, preferably within ... staff and developing a cohesive team. Experienced with quality improvement monitoring ... raise the bar on home..
... Florida Description Humana's Corporate Strategy team is a high-performing organization that ... Planning functions. The Strategy Operations team provides consulting services to Humana's ... As a member of this..
... overall goals of the patient/rehab team. Adjust treatment as needed to ... Confer with physician and clinical team members to obtain additional patient ... raise the bar on home..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
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). ..
... opportunity to build a technology team from the ground-up leading digital ... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person..
