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... is calling a Clinical Case Manager (LCSW) - Utilization Review Quality ... are seeking a Clinical Case Manager (LCSW) - Utilization Review Quality ... factors that impact a person's..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... or community groups to support regional market priorities, which may include ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... in Vancouver Washington Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician 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,..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
... or guardianship.u003c/spanu003eu003c/pu003enu003cpu003eu003cstrongu003eEmployment Status:u003c/strongu003eu0026nbsp; Full-Timeu003c/pu003enu003cpu003eu003cstrongu003eu003cspanu003ePOSITION SUMMARYu003c/spanu003eu003c/strongu003eu003c/pu003enu003cpu003eu003cspanu003eThe Regional Float Pool Manager leverages their critical thinking and ... and provides general supervision to regional float pool staff.u0026nbsp; Works closely ... team memberu0026rsquo;s..
... in Vancouver Washington Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... across the enterprise to support..
... of services provided by other healthcare professionals in compliance with review ... or community groups to support regional market priorities, which may include ... whether services provided by other..
Job Information Humana CMO - Regional VP, Health Services - Intermountain ... in Vancouver Washington Description The Regional VP, Health Services relies on ... and reviews health claims. The Regional..