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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..
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..
... 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..
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..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
... 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..
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 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 ..
... Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and ... Certified Diabetes Care and Education Specialist-Remote-US in Troy Michigan Description The ... Certified Diabetic Care and Education..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Troy Michigan Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
