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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
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Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Job Information Humana Member Care Advocate (Inbound Contact Representative 2) - English OR Bilingual English and Spanish Fluent Positions Available in Birmingham Alabama Description The Inbound Contacts Representative 2 represents the ..
Description The Wellness Coach 2 supports health promotion and disease prevention and care management services. The Wellness Coach 2 work assignments are varied and frequently require interpretation and independent determination of ..
Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
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 ..
Job Information Humana Inbound Contact Rep 2 - English OR Bilingual English and Spanish in Birmingham Alabama Description The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, ..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g. CPT)..
Description Humana's dream is to help our members and our own associates achieve life-long well-being. Use your clinical experience to work with members, providers and community services in a nontraditional environment ..
Job Information Humana Member Care Advocate (Inbound Contact Rep 2) - English OR Bilingual English and Spanish in Birmingham Alabama Description The Inbound Contacts Representative 2 represents the company by addressing ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description Imagine putting your career into overdrive, interacting with C-suite executives who mentor and collaborate with you. Imagine learning about and influencing systems that affect population health at a national level. ..
Description The Consumer Engagement Professional 2 oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and for product where warranted. The Consumer Engagement Professional 2 work ..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... in reviewing actual and proposed medical care and services against established ... against established CMS and Humana..
