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... Execute daily workload within full compliance of state and federal billing ... as identified in the audit compliance plan to educate on identified ... in area of own responsibility.u003c/pu003enu003cpu003eu0026bull;..
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u003cpu003eu003cstrongu003eThis job exists to u003c/strongu003eefficiently, effectively, and accurately convert patient encounters into reimbursable claims for timely payment from Clinicau0026rsquo;s payer mix.u003c/pu003enu003cpu003eAccept charges, review, analyze, and code diagnostic and procedural information that ..
... confidentiality to ensure Clinicau0026rsquo;s full compliance with federal and state requirements.u003c/pu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eESSENTIAL ... strong partnership with the Coding Manager.u003c/pu003enu003cpu003eu0026bull; Support the Corporate Compliance Officer in assuring compliance with federal, state,..
Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical Practice ..
... in Louisiana is seeking a Manager, Care Management (Behavior Health) who ... care, services, and supports in compliance with Louisiana Department of Health ... policies and procedures to ensure..
Description Humana Healthy Horizons in Louisiana is seeking a Manager, Utilization Management Nursing who will utilize clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit ..
Description Humana Healthy Horizons in Louisiana is seeking an Associate Director, Utilization Management Nursing who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and ..
Description Humana Healthy Horizons in Indiana is seeking a Provider Services Advisor (Market Development Advisor) who will be responsible for the strategic and tactical support of the Provider Services team. They ..
Description The Medicaid Housing Specialist (Care Management Support Professional 1)contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..
Description Humana Health Horizons in Louisiana is seeking a Behavioral Health (BH) Children's System Administrator (Care Management Behavioral Health Lead) who will advise on program features to reach members and drive ..
... and other members of the healthcare team to interpret, adjust, and ... delivery of patient care in compliance with standards outlined in the ... philosophy. Adheres to the FMCNA..
Description The Community Health Worker/Care Management Support Professional 1 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..
... comprehensive case management environment. Assure compliance with mandated and corporate policies ... and well-being of members. Maintain compliance with Louisiana Department of Health ... in Louisiana and is in..
... in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who ... and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health applies ... policies and procedures to ensure..
Description The Social Determinants of Health (SDOH) Coordinator understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed ..
... Louisiana is seeking a RN, Manager of Care Management to lead ... care, services, and supports in compliance with our Louisiana Department of ... policies and procedures to ensure..
Description The Area Medical Director serves as a health-care professional and capable of handling a variety of health-related problems. The Area Medical Director requires a solid understanding of how organization capabilities ..
... in Louisiana is seeking a Manager, Community Management who will work ... equity and population health. The Manager, Community Management is responsible for ... based in Louisiana. Responsibilities The..
Description Humana Healthy Horizons in Indiana is seeking a Director, Provider Services (Director, Provider Engagement) who will lead a team that is accountable for growing positive, long-term relationships with network providers ..
Description Humana Healthy Horizons in Louisiana is seeking an Associate Director, Care Management who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and most ..
Description Humana Healthy Horizons in Louisiana is seeking RN Managers of Care Management who will lead our physical health/behavioral health care management operations and staff to ensure timely and culturally-competent delivery ..
Description Humana Healthy Horizons in Louisiana is seeking a Addictionologist/Addiction Services Manager (ASM) who will be responsible for overseeing the development and implementation of Humana Medicaid's Addiction Services in Louisiana, serving ..
