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Job Information Humana Social Worker - Telephonic ... for optimal performance from Humana systems is 10M x 1M Associates ... (see details below under Additional Information) and upon offer will..
... contract payments in our payer systems, and by ensuring correct claims ... Degree or higher in Health Information Management (HIM) or related field ... metric driven operational setting Additional..
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Description The Overutilization Review and Monitoring Staff Clinical Pharmacist is a clinical pharmacist that works in Humana's Drug Management Program. This individual conducts case management on at-risk beneficiaries and potential at-risk ..
... individual will not only review information provided in the medical records ... be able to articulate this information confidently to other medical and ... in this situation must analyze..
Job Information Humana Telephonic Care Coach- WAH Nationwide in Charleston West Virginia Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or ..
... and documented in all applicable systems. Be able to communicate ECHO ... Electronic Questionnaire for Investigation Processing). Healthcare professional with a minimum of ... case management, clinics and/or other..
... by ability to navigate multiple systems, utilizing dual computer monitors. Provide ... for optimal performance from Humana systems is 25 MBS Downstream/ 10 ... (see details below under Additional..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
... get the right care and information based on their specific condition ... related experience in management of healthcare analytical support staff Technical proficiency ... for optimal performance from Humana..
... take charge of their own healthcare decisions. Provide guidance and clinical ... coordinate interventions that may include information, education, resources and referrals Coordinate ... learn how to use virtual..
Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platforms/applications. The Associate Director, Problem, ..
... can complete or request additional information. Role Responsibilities Recognizes specific assessments/treatment ... civilian providers to obtain additional information that may be required to ... Processing) . Two years prior..
Description Your Home Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical and quality outcomes by bridging the gap between the physician's office and the member's home. YHA ..
Description Humana is looking for an experienced Counselor that truly enjoys helping those in need within a call center environment. Our Counselor's provide ongoing and crisis intervention counseling focused on the ..
... by ability to navigate multiple systems, utilizing dual computer monitors. Provide ... for optimal performance from Humana systems is 10M x 1M. A ... (see details below under Additional..
Job Information Humana Social Worker-MSW and licensure ... for optimal performance from Humana systems is 25M x 10M Associates ... (see details below under Additional Information) and upon offer will..
Description SeniorBridge is hiring a remote, Full-Time Scheduling Coordinator. SeniorBridge is Humana's wholly-owned home care business acquired in 2012. We provide concierge care management, private duty nursing, and personal care assistance ..
... document and research in multiple systems. This position will print and ... will print and mail educational information to members. equired Qualifications Bachelor's ... with documenting in multiple computer..
... love auditing and investigating clinical/coding information, researching medical materials and sources ... credential (CPC, CCS, or CRC) Healthcare experience within a fraud investigations ... well as solid knowledge of..
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
