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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 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..
... 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..
... 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..
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...
... 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 .....
... 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..
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 ..
... independently refer suspected member fraud, provider fraud, and member abuse cases ... meetings Required Qualifications Experience in healthcare, healthcare investigations, and/or risk management Supervisory ... Master's degree in Law,..
... 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 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 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 ..
... 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..
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 ..
