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Description The Manager, Utilization Management Nursing utilizes clinical ... utilizes clinical nursing skills to support the coordination, documentation and communication ... and/or benefit administration determinations. The Manager, Utilization Management Nursing..
Description The Care Coach Coordinator assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Description The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ..
Description The Care Management Support Assistant 2 contributes to administration ... of Care Management. Provides non-clinical support to the assessment and evaluation ... well-being Responsibilities The Care Management Support Assistant..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
... Humana Telephonic Behavioral Health Care Manager in Peoria Illinois Description The ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Peoria Illinois Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Job Information Humana DoD SkillBridge Military, Veteran, Military Spouse Illinois Care Coordinator in Peoria Illinois Description The Field Care Coach performs varied services to evaluate members needs to facilitate appropriate health ..
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 ..
... complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor ... diagnosis coding is accurate to support billed clinical diagnosis Applies clinical ... CCS, CRC, RHIA or RHIT)..
... evidenced based care and clinical decision support to guide practice. Acts as ... Reports to the eICU Operations Manager. QualificationsREQUIRED QUALIFICATIONS: AHA- BLSCurrent RN ... veteran status or disability..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Peoria Illinois Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
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 ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Peoria Illinois Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana DoD SkillBridge, Veteran, Military Spouse Illinois Care Coordinator in Peoria Illinois Description The Field Care Coach performs varied services to evaluate members needs to facilitate appropriate health and ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Peoria Illinois Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... providing digital marketing funnel conversion support, enhancing SEO capabilities, and landing ... the moment of need for..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
