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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 ..
... Recommend disciplinary action to Clinical Manager and initiate as appropriate. Ensure ... the absence on the Clinical Manager ensuring compliance with applicable regulations, ... and effective matter. With Clinical..
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 ..
Job Information Kindred at Home LPN, Home Health Per Diem in Huntington West Virginia As a Home Health LPN, you will: Provide professional nursing services under the direction of a RN ..
Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Ironton Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, ..
Heritage Center in Huntington WV is now hiring for a Director of Nursing to join their team! We are looking for a seasoned RN, with management experience, to lead this 160 ..
Description Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional to join our team. The Utilization Management (UM) Behavioral Health (BH) Professional utilizes behavioral health knowledge and ..
Description Humana Health Horizons in Ohio is seeking Field Care Managers, Behavioral Health 2 who will assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Job Information Humana Manager, Fraud and Waste-Remote US in Huntington West Virginia Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
Job Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother Baby (Ohio Medicaid) in Ironton Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager ..
Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Portsmouth Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, ..
Job Information Centerwell Occupational Therapist, Home Health Per Diem in Huntington West Virginia As a Home Health Occupational Therapist , you will: Assess/screen patient's daily living/work-related skills and develop therapeutic retraining ..
Description Humana Healthy Horizons is seeking a Pre-Authorization Nurse 1 who will review prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forwards requests ..
Job Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother Baby (Ohio Medicaid) in Portsmouth Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager ..
Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management (Physical Health & Behavioral Health) who will lead our physical or behavioral health care management operations and staff to ..
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 ..
Job Information Kindred at Home Licensed Practical Nurse, Home Health Full Time-$2500 Sign on Bonus in Huntington West Virginia As a Home Health LPN , you will: Provide professional nursing services ..
... at Home Registered Nurse Case Manager Full Time in Huntington West ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..