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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job ID 21000JAWAvailable Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping our provider networks ... on existing data related and..
POSITION FEATURES:Patient Care, Patient Care Technician, Nurse Assistant, Certified Nurse Assistant, CNA, PCTSchedule: MWF & TTS. Staff rotates Saturdays. No nights. No Sundays. Most major holidays offPURPOSE AND SCOPE:Supports FMCNA’s mission, ..
... The Lead Cloud Architect performs technical planning, architecture development and modification ... 8 or more years of technical experience 2 or more years ... for complex business problems Prior..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
... guidelines and procedures; applies advanced technical knowledge to solve moderately complex ... Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts ... their home. We are a..
... the global leader in dialysis healthcare, we form bonds that enable ... camaraderie, emphasizing friendly collaboration, professional support, and career development. Superior training, ... for assigned patient(s). Perform all..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
POSITION FEATURES:Dialysis experience not required. Paid training provided.PURPOSE AND SCOPE:Supports FMCNA's mission vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS ..
Details Department: Associate Travel Program - Surgical Services Schedule: Multiple shifts available, 40 hours per week Hospital: Multiple Ascension acute care hospitals Location: Requires travel to various locations more than 50 ..
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). ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... providing digital marketing funnel conversion support, enhancing SEO capabilities, and landing ... the moment of need for..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Kalamazoo Michigan Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
