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Description The CCM Compliance Professional 2 ensures compliance with governmental and contractual requirements. The CCM Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the ..
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 ..
13 week assignments in Louisville, KY for PCU RN's with 2 years experience, 12 hr nights We can help you achieve your career goals by connecting you to our diverse healthcare ..
Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..
Provides consultation, research, and investigation of medical records Provides medical record chronology, summary, and/or analysis Researches medical literature for cases Provides anatomy and pathophysiology education to attorneys Analyzes pre-deposition and post-deposition ..
Description The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. ..
Job Information Humana Senior Sales Enablement Product Marketer in Louisville Kentucky Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Product Marketer who is hyper customer focused ..
Home Health RN's needed in Owensboro, KY 8 hour dayshifts, 2 years experience require We can help you achieve your career goals by connecting you to our diverse healthcare clients close ..
Description The Health Information Management Professional 2 ensures data integrity for claims received. The Health Information Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Louisville Kentucky Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that ..
Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky Medicaid line of business. This includes quality compliance and quality improvement activities such as the annual Quality Improvement program ..
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, ..
Accountable Healthcare is seeking experienced local or travel LPNs or RNs for Correctional Nursing positions in Kentucky!! 12 hour NIGHT shift available! Give us a call today at 844-573-1028 ! Acute ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
13 weeks, 12 hour nights, 2 years recent experience, EPIC experience required, Also overflow or Ortho and Neuro We can help you achieve your career goals by connecting you to our ..
13 wks- 40 hrs/wk- SNF and Rehab Optima experience- will consider new grad- KY license We can help you achieve your career goals by connecting you to our diverse healthcare clients ..
13 wks- days- 7a-5:30p- rotating wknds & call-RDCS- 2D Echo We can help you achieve your career goals by connecting you to our diverse healthcare clients close to home or in ..
Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 1 work assignments ..
Accountable Healthcare is seeking experienced local or travel LPNs for Correctional Nursing positions in Kentucky!! 12 hour NIGHT shift available! Give us a call today at 844-573-1028 ! Acute care exp ..
Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ..
Home Health RN's needed in Owensboro, KY 8 hour dayshifts, 2 years experience required We can help you achieve your career goals by connecting you to our diverse healthcare clients close ..