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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... we succeed! The Manager, Utilization Management Nursing..
Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt POSITION SUMMARY: Assist the pharmacist in reaching sales and profit goals established for the department and monitor all established quality assurance ..
Job Information Humana Care Guide - Physical Health in Canton Ohio Description The Care Guide (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..
... choose to receive their care management from the MCO). Care Manager ... for TB. Preferred Qualifications Case Management Certification (CCM) Experience working with ... and dual-eligible populations Field Case..
Cleveland Clinic is currently seeking Board Eligible/Certified Interventional Radiologistto join the Imaging Institutes Department of Regional Radiology at Mercy Hospital in Canton, Ohio . Formal training in Interventional Radiology is required ..
Job Information Humana Senior Provider Contracting Professional - OH Medicaid in Canton Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider contracts ..
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 ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Canton Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Canton Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, ..
Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt POSITION SUMMARY Provide exceptional customer service in a safe and clean environment to ensure the customer's return visit. This is accomplished ..
... meetings Required Qualifications Experience in healthcare, healthcare investigations, and/or risk management Supervisory or leadership experience Must ... Master's degree in Law, Business, Healthcare, or related field Extensive knowledge .....
Job Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother Baby (Ohio Medicaid) in Canton Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Canton Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Job Information Humana Manager, Care Management(Behavioral Health) - Ohio Medicaid in ... is seeking Managers of Care Management who will lead our behavioral ... lead our behavioral health care management..
... is seeking Managers of Care Management (Physical Health & Behavioral Health) ... physical or behavioral health care management operations and staff to ensure ... Functions and Responsibilities: Supervise care..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Canton Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
... choose to receive their care management from the MCO) and serves ... in behavioral health setting Case management experience Must be passionate about ... reliable vehicle. Preferred Qualifications: Case..
Description The Care Management Support Assistant 2 contributes to ... contributes to administration of Care Management. Provides non-clinical support to the ... for well-being Responsibilities The Care Management Support Assistant..
... field Prior experience with corporate management over direct reports Prior health ... verbal Strong organizational and project management skills For this job, associates ... done through an approved Humana..
... Horizons is seekign a Utilization Management Nurse 2 who utilizes clinical ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... 40 Company! Responsibilities The Utilization..
Job Information Humana Regional Community Engagement Professional 2- OHIO Remote/Field in Canton Ohio Description With a laser focus on addressing health disparities and equity, the Health Equity and Community Engagement Regional ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Canton Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..