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Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within..
Description Do you enjoy helping those in need? Do you love researching, analyzing medical documents to determine if something was missed? Have you ever considered yourself a detective for medical..
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..
At National Staffing Solutions, we have the privilege and honor of working with dedicated healthcare professionals that make a positive impact in aiding those needing healthcare services across the U.S...
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care..
Position: RN Case ManagementLocation:Shift:Job Details: Responsible for coordinating medical care, and matching patient needs and preference with judicious use of healthcare resources Educates physicians regarding InterQual criteria, documentation of patient..
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 Telephonic Behavioral Health Licensed Social Worker - SNP in Portsmouth New Hampshire Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and..
The Care Transitions Market Leader is responsible for the promotion of quality, cost-effective services and care through a collaborative process that coordinates, monitors, and evaluates services provided to all transitional..
Description The Senior Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer work..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in Portsmouth New Hampshire Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates..
BenefitsHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffEmployee Assistance Program to support mental healthEmployee Foundation to financially assist through unforeseen hardshipsTuition, Travel, and Wireless Service DiscountsVariable compensation plansEmployee..
Job Information Humana Social Worker-MSW and licensure required- Telephonic Behavioral Health-SNP- WAH Nationwide in Portsmouth New Hampshire Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment,..
Mental Health Team Manager University of Exeter - Education and Student Support (Wellbeing Services) Location: Exeter Salary: The starting salary will be from £36,382 up to £40,927 per annum pro..
Description The Behavioral Health 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..
Are you looking to make a difference? A community based behavioral health organization is seeking a Chief Medical Officer to provide leadership and clinical supervision. The CMO will deliver administrative..
Job Information Humana Senior Market Development Professional-RN-WAH Nationwide in Portsmouth New Hampshire Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE..
Description The Overutilization Review and Monitoring Staff Clinical Pharmacist is a clinical pharmacist that works in Humana's Drug Management Program. This individual conducts case management on at-risk beneficiaries and potential..
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..
Job ID 21000LM7Available Openings 1Position Specific Information Full time available if willing to work in other clinics in the area.PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the..
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..