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Description The Senior Stars Improvement, Clinical Professional is responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars program. The Senior Stars Improvement, Clinical Professional work assignments involve ..
... Professional requires being both a nurse/RN and a certified Coder nurse as this position will be ... of 6am- 6pm. Required Qualifications: Registered Nurse with active license in state..
Description Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional consults and collaborates with clinicians/nurses to ensure high accountability of compliance and quality and claims are being reviewed correctly. This position ..
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RN Intake Care Coordinator (Hospice) - Work from home after 6 months (Full Time 1st shift) Location: Milwaukee, WI (corporate headquarters) (53224) Our Intake Department has a full-time opening for an ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Green Bay Wisconsin Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... action. Responsibilities The Utilization Management Nurse 2..
RN - Care Coordinator - Work from home after 6 months (Full Time 1st shift) Location: Milwaukee, WI (corporate headquarters) (53224) Our Intake Department has a full-time opening for an RN ..
RN - Weekend - Intake Care Coordinator - Work from home after 6 months (Part Time weekends) Location: Milwaukee, WI (corporate headquarters) (53224) Our Intake Department has a full-time opening for ..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly jump ..
LPN - Intake Coordinator - Work From Home after 6 months - PART-TIME (Full Time 1st shift) Location: Milwaukee, WI (corporate headquarters) (53224) Our Intake Department has a Part-time opening for ..
... The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic ... The Transplant Care Manager, Telephonic Nurse 2 work assignments are varied ... The Transplant Care Manager, Telephonic..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
Job Information Humana Manager, Utilization Management Nursing - North Central Region (Work at Home) in Green Bay Wisconsin Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ..
Description Seeking meaningful work? As a Fraud and Waste Manager at Humana, you will come to work every day with the knowledge that your work matters. The ideal candidate is a ..
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 ..
u003cpu003eu003cstrongu003eRole Summary:u0026nbsp; u003c/strongu003eu003c/pu003enu003cpu003eThe Clinical Supervisor (RN) will oversee a team of 20 to 30 remote Medical Review Nurseu0026nbsp; Analysts (NA) that complete Targeted Probe and Educate (TPE) work for our Medicare ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... allows Responsibilities The Utilization Management Nurse 2..