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Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..
... environment for all. Responsibilities The Nurse Practitioner (NP) works in our ... professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, quality based coder, referral coordinator ... This..
... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the clinical delivery process. The National Medicaid ... The National Medicaid Director of..
... and assists branch operations in clinical coordination and communication with referral ... acceptance and documents all demographic, clinical, payer and other information as ... and informs the Company location..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Albany New York Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..
Description The RN Clinical team is looking for a ... looking for a dynamic Registered Nurse to join the team working ... will be someone who applies clinical and coding..
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 ..
Job Summary: Under the supervision of attending physician(s) and in accordance with New York State laws, the Nurse Practitioner will provide cardiac care for a mid-size cardiology practice in Rockland County, ..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... and by leader. Utilization..
... Responsibilities Be part of our Clinical Support Team - Humana is ... - Humana is seeking a Clinical Consultant who will be accountable ... results. Humana is seeking a..
... activities and census trends Provides clinical assessment of all applicants for ... sources and collaborates with Benefits Specialist that payer source are current ... License as a Licensed Practical..
