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Job Information Humana Research Consulting Lead in Green Bay Wisconsin Description The Research Consulting Lead performs basic observational and experimental scientific, technological, health economics and outcomes investigation directed toward the..
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Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the..
Description The Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also..
u003cpu003eu003cstrongu003eRole Summary:u0026nbsp; u0026nbsp;u003c/strongu003eu003c/pu003enu003cpu003eThe Prior Authorization Nurse Analyst is a work from home position that will assist in reviewing medical documentation for prior authorization requests submitted.u003c/pu003enu003cpu003eu003cstrongu003eIn this role you will:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003ePerform review..
Job Information Humana Senior Accreditation Professional in Green Bay Wisconsin Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to..
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Nurse Practitioner (Palliative) (Full Time 1st shift) Location: Mequon, WI (CSM) (53092), Milwaukee County (53211), Milwaukee, WI (corporate headquarters) (53224), Oak Creek, WI(53154), Ozaukee County (53092), Racine, WI (53403), Washington..
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..
Job ID 21000HSBAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy..
Now hiring for LPN's and Caregivers at Skaalen Retirement Services! Benefits of Working for Skaalen: -Health/Dental/Vision benefits -Sign-on bonus referral bonus -Shift differentials available -Paid on the job training We..
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..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for..
