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Medical Billing Specialist (As Needed) –Must have Hospital ... TO: · Works all identified insurance requirement edits through the electronic ... be sent directly to the insurance carriers. · Daily..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Job Information Humana Home Health LPN/LVN in Atlanta Georgia Description Responsibilities The Home Health Nursing, LPN/LVN enables patients to stay in their homes by providing health and personal services; supporting patients ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..
Job Information Humana HIMS - Health Information Management Specialist - CenterWell - Atlanta in Stone Mountain Georgia Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
Description The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..
... each patient through their unique healthcare journey.Required QualificationsYears of Experience: 2. ... call home.Job BenefitsAt American Mobile Healthcare we take care of our ... inception in 1985, American Mobile..
Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
... like this one Industrial Prevention Specialist, Exercise Science, Kinesiology – ProgressiveHealth ... and results driven Industrial Prevention Specialist to provide injury prevention services ... availability), dental, vision, and supplemental..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Humana Behavioral Health Specialist, LCSW- CenterWell - Atlanta, GA in Atlanta Georgia Description The Field Care Manager, Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve ..
If you are looking for an entry level position into a growing, dynamic company that is addressing sleep medicine challenges in the workplace, SleepCharge by Nox Health is the place for ..
... Certified Diabetes Care and Education Specialist-Remote-US in Atlanta Georgia Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
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 requires ..
