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Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
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Job Information Humana Social Worker - Telephonic Behavioral Health in San Juan Puerto Rico Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' ..
Description The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3 performs advanced ..
... way to resolution on each call while providing a perfect call experience. These roles will be ... members in a fast-paced inbound call center environment Records details of inquiries,..
Description The Supervisor, Consumer Service Operations is responsible for the daily activities across multiple service functions area. The Supervisor, Consumer Service Operations works within thorough, prescribed guidelines and procedures; uses independent ..
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 ..
... & Appeals Representative 3 (Fully Bilingual English/Spanish) San Juan, PR in ... School Diploma or equivalent Fully Bilingual English/Spanish. Must be able to ... to work possible overtime. On..
... Inbound Contacts Representative 2 (Fully Bilingual in English/Spanish) in San Juan ... but we are not a 'call center' environment as we are responsible ... at the time of..
... Experience working in an Inbound Call Center Working experience working in a ... lead or prior leadership experience Bilingual (English and Spanish); with the ... years experience working on..
... Outbound Contact Representative 3 (FULLY Bilingual English/Spanish) San Juan, Puerto Rico ... years working experience in a Call Center environment. Previous inbound call center or related customer service experience..
... Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) in San ... Juan Puerto Rico Description The Bilingual Claims Research and Resolution Representative ... perks for well-being Responsibilities The..
... Grievances & Appeals Representative 3 (Bilingual English/Spanish) San Juan, PR in ... High School Diploma or equivalent Bilingual English/Spanish. Candidate selected will not ... to work possible overtime. On..
Description The Bilingual Claims Research and Resolution Representative ... Where you Come In The Bilingual Claims Research & Resolution Representative ... the resolution to a pending call. Decisions are typically..
... those in need within a call center environment. Our EAP Counselor's provide ... and delivering trainings CEAP Preferred Bilingual (English/Spanish); speaking, reading, writing, interpreting ... in Spanish Additional Information..
... years working experience in a Call Center environment. Previous inbound call center or related customer service experience ... listening communication skills (English/Spanish) Fully Bilingual - English/Spanish. Must be able..
Description The Care Management Support Assistant 3 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Description The Quality Assurance Technician develops and implements programs to establish and maintain quality standards of existing products and services, as well as developing programs to focus employees on the quality ..
