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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 ..
Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... Demonstration). Responsibilities The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... (EFMP). Auditing for quality and clinical compliance,..
... Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, ... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization..
... complexity. Responsibilities The Care Coach Coordinator employs a variety of strategies, ... some interpretation. The Care Coach Coordinator assesses and evaluates member's needs ... Required Qualifications The Care Coach..
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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
... health care and achieve desired clinical outcomes. As part of the ... will serve as the primary coordinator and point of contact for ... for all activities within the..
Description The Medical Coding Coordinator 2 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 ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
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 ..
... temporary catheters. The Renal Care Coordinator ensures every late stage CKD ... in the interpretation of summary clinical data and its use in ... the collection and analysis of..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
Description The UM Administration Coordinator contributes to administration of utilization ... utilization management. The UM Administration Coordinator performs varied activities and moderately ... semi-routine assignments. The UM Administration Coordinator is..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
