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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 ... job as we are a..
... 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..
... 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 .....
... 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 Humana Manager, Fraud and Waste-Remote US in ... Syracuse New York Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
... Humana Telephonic Behavioral Health Care Manager in Syracuse New York Description ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..
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 ..
... as directed by the Clinical Manager. Confer with physician in developing ... with physician orders, under Clinical Manager's supervision. Revise plan in consultation ... Coordinate appropriate care, encompassing various..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... Liverpool New York The Clinical Manager coordinates and oversees all direct ... decision to admit patients to..
... is working to provide quality service to patients, partners, and teammates. ... mission is to be the Provider, Partner, and Employer of Choice. ... readiness approval by Clinical Nurse..
... 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 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 ..
... 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..
... and support to the Clinical Manager(s). Works in conjunction with the ... and supervision to the Clinical Manager(s) to promote more effective performance ... with Sales Directors and Account..
