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... This position reports to the Manager of Risk Adjustment Coding. As ... of claims and query outpatient provider claims to obtain additional medical ... accurate and appropriate coding Audit..
... team members ensuring that the service provided meets or exceeds clinical ... procedural and Florida Agency for Healthcare Administration (ACHA). Ensure adoption and ... compliance with Florida Agency for..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
... 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 .....
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Posted: 23-Feb-22 Location: Wesley Chapel, Florida Salary: Open Categories: General Nursing Internal Number: 21019486 Description ED RN AdventHealth Wesley Chapel Location Address: 2600 Bruce B. Downs Blvd Wesley Chapel, Florida 33544 ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Clearwater Florida The Clinical Manager coordinates and oversees all direct ... decision to admit patients to service...
Job Information Humana Provider Contracting Professional 2 - Work ... providers in specified regions. Manages provider network performance and manages the ... MLTC Home and Community Based provider adequacy. Humana..
... as assigned. Promote exemplary customer service to physicians, facility personnel, patient ... to support diagnosis and home healthcare orders. Provide input to care ... Specialist, Director Clinical Management, and/or..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... Responsibilities Exciting opportunity for Care Manager, Telephonic Nurse..
... Information Humana Onsite Field Care Manager RN - Women's Health Nurse ... Florida Description The Field Care Manager Nurse 2 assesses and evaluates ... of members. The Field Care..
