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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
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 ..
Job DescriptionAs a Primary Nurse Case Manager (RN), Home Infusion you will work outside the walls of a hospital setting in a growing specialized area of the nursing field. If you ..
Job Information Humana Manager, Fraud and Waste-Remote US in Peoria Illinois Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Description The Care Management Support Assistant 2 contributes to administration of Care Management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
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 Telephonic Behavioral Health Care Manager in Peoria Illinois Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or ..
Description The Associate Director, Full Stack Engineering Performs software engineering activities in all layers of the stack, from setting up the database to programming in the back-end and the appearance at ..
Job Information Humana Care Coordinator in Peoria Illinois 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 ..
OverviewPOSITION SUMMARY:The ED RN Case Manager is responsible for identifying, assessing, planning and coordinating, implementing, monitoring and evaluating options and services across the continuum of care for individuals in assigned case ..
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 ..
Job Information Humana Behavioral Health Care Coach Coordinator in Peoria Illinois Description The Care Coach Coordinator assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
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 Auditor 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 Coding ..
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 ..
OverviewSign-On Bonus Eligible! $7,500 for RNs (external candidates) POSITION SUMMARY: The eICU center Registered Nurse is a member of a collaborative team who is responsible for providing continuous vigilance and tele-nursing ..
Job Information Humana LTSS Care Coach in Peoria Illinois 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 ..
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). ..
