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Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Job Information Humana Utilization Management Registered Nurse, RN 2 in Aberdeen South Dakota Description The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical ..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in Aberdeen South Dakota Description The Network Operations Lead maintains provider relations to support customer service activities through data integrity management and ..
Remote Inpatient Coder EXPERIENCE: 3 - 5 Years Remote Inpatient Coder Seeking Experienced Inpatient Coders for Part-Time (20 hr/wk minimum) or Full-Time Positions. Requirements: · Current AHIMA Certification · Minimum 3 ..
Job Information Humana Utilization Management Nurse 2-Remote in Aberdeen South Dakota Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Aberdeen South Dakota Description The Medical Coding Auditor reviews medical claims submitted against medical records ..
