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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 ..
... medical coding auditor to handle provider disputes and appeals in a ... by increasing the accuracy of provider contract payments in our payer ... their home. We are a..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Huntington West Virginia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Centerwell Occupational Therapist, Home Health Per Diem in Huntington West Virginia As a Home Health Occupational Therapist , you will: Assess/screen patient's daily living/work-related skills and develop therapeutic retraining ..
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 2 - Maternity, L&D, Mother ... seeking a RN Field Care Manager 2 with Maternity, L&D, Mother ... optimal wellness. The Field Care..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Experience - Shopping, Enrollment, & Self-Service. In this role, you set ... Humana.com marketing, shopping, enrollment, and..
Description The Manager, Risk Adjustment oversees coding educators ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific ... schedules and goals. Responsibilities The Manager, Risk Adjustment oversees..
... levels to meet care and service quality objectives. Support orientation and ... years' experience working in the healthcare setting. Minimum two (2) years ... management. For Behavioral Health, C.M...
... 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..
... Time OffTuition, Travel, and Wireless Service DiscountsEmployee Assistance Program to support ... grade, location, and length of service. Join Genesis as a Unit ... Join Genesis as a Unit..
... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... contact with patients, physicians, clinical manager(s), other members of the healthcare team in a timely manner .....
Job Information Humana Care Coach - Kentucky Medicaid in Huntington West Virginia Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state ..
Full time Restorative Nurse at Teays Valley Center in Hurricane! 6K hiring bonus! RN required. Genesis HealthCare is one of the leading providers of healthcare services from short-term to long-term care ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Vice President, Digital Experience - Self-Service. In this role, you set ... execute the vision of Humana.com..
... members. Responsibilities The Field Care Manager, Behavioral Health 2 work assignments ... a Care Management Entity. Care Manager Plus serves as the single ... Position Responsibilities: The Field Care..
... company's DNA.Tuition, Travel, and Wireless Service DiscountsEmployee Assistance Program to support ... grade, location, and length of service. The Director of Nursing combines ... excellence, and patient/customer experience excellence.Provide..
Description Humana Healthy Horizons in Ohio is seeking a Care Guide/Care Guide Plus (Care Coach 1) who will assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness ..
Description Humana Healthy Horizons is seeking a Pre-Authorization Nurse 1 who will review prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forwards requests ..
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 ..
... one of the nations' leading provider of healthcare services from short-term to long-term ... Tuition AssistanceTuition, Travel, and Wireless Service DiscountsEmployee Assistance Program to support ... grade, location, and..
