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Job Description We understand the COVID-19 virus has created immense hardships for businesses and hardworking individuals just like you. We sympathize with those that have reduced hours or even lost their ..
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 ..
Specialty: RN-Operating Room Travel Job Description Working in the operating room with surgeons to keep the operating room sterile Execute proper use, care and handling of surgical equipment to ensure safety ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records, and reviews medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct coding ..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Lancaster South Carolina Description The Medical Coding Auditor reviews medical claims submitted against medical records ..
Job Information Humana Utilization Management Nurse 2-Remote in Lancaster South Carolina Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..
Job Information Humana Utilization Management Registered Nurse, RN 2 in Lancaster South Carolina Description The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical ..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in Lancaster South Carolina Description The Network Operations Lead maintains provider relations to support customer service activities through data integrity management and ..