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Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
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Description The Compliance (UM) Professional 2 conducts and summarizes compliance audits. The Compliance (UM) Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses ..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., ..
Job Information Humana Bilingual Medical Center Receptionist in North Miami Beach Florida Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's ..
Description The Activity Coordination Assistant 2 ensures the day-to-day operations of the Wellness Center meets participant needs. The Activity Coordination Assistant 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
... and making sure all patient information is correct. Typically works on ... referral appointments. Verify patient insurance information. Gather and communicate all relative ... Gather and communicate all relative..
Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..