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Description The Manager, Utilization Management Nursing utilizes clinical ... utilizes clinical nursing skills to support the coordination, documentation and communication ... and/or benefit administration determinations. The Manager, Utilization Management Nursing..
... recruitment and interview process, and decision to hire new personnel. Ensures ... members at regular intervals offering support and encouraging professional growth. Completes ... motivating employees, performance management, and..
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). ..
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,..
... Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother ... seeking a RN Field Care Manager 2 with Maternity, L&D, Mother ... optimal wellness. The Field Care..
Job Information Humana Manager, Care Management(Behavioral Health) - Ohio ... providers, and community partners to support the delivery of high-quality care ... care and service quality objectives. Support orientation and..
Job Information Humana Care Manager, Registered Nurse, RN in Springfield ... is seeking a Field Care Manager to assess and evaluate member's ... Company! Responsibilities The Field Care Manager Nurse..
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 ..
... Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in ... seeking a RN Field Care Manager 2 with Maternity, L&D, Mother ... optimal wellness. The Field Care..
... members. Responsibilities The Field Care Manager, Behavioral Health 2 work assignments ... a Care Management Entity. Care Manager Plus serves as the single ... Providing actionable data, information, and..
Job Information Humana Care Manager, Licensed Behavioral Health Professional or ... Ohio Description The Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses and evaluates ... members. Responsibilities..
Job Information Humana Care Manager, Registered Nurse, RN - Maternity, ... Ohio Description The Field Care Manager assesses and evaluates member's needs ... members. Responsibilities The Field Care Manager Nurse..
Description The Care Management Support Assistant 2 contributes to administration ... of Care Management. Provides non-clinical support to the assessment and evaluation ... well-being Responsibilities The Care Management Support Assistant..
... providers, and community partners to support the delivery of high-quality care ... care and service quality objectives. Support orientation and training of staff. ... years' experience working in the..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Springfield Ohio Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
