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Description MUST BE BILINGUAL: CHINESE/ENGLISH (written and spoken proficiency)MUST ... Care Managers, because our case management services are centered on the ... Previous adult chronic conditions care management. Previous experience..
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Description The Bilingual Production Professional 2 produces of ... external and internal audiences. The Bilingual Production Professional 2 work assignments ... courses of action. Responsibilities The Bilingual Production Professional works..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License ... Care Managers, because our case management services are centered on the ... no disciplinary action. Must be bilingual in Spanish..
Description The Supervisor, Care Management Support contributes to administration of ... contributes to administration of care management. Provides non-clinical support to the ... of members. The Supervisor, Care Management Support..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
... Care Managers, because our case management services are centered on the ... Previous adult chronic conditions care management. Previous experience in care management. Knowledge of complex care management and..
Description The Utilization Management Behavioral Health Nurse 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
Description The Care Management Support Assistant 2 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 Consumer Engagement Professional 2/Group Medicare Member Engagement Professional oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and for product where warranted. The Consumer ..
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 Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
... developing expertise in our content management and platform tools, supporting translation ... with the ecommerce industry, content management/publishing, or other web-related skill sets. ... functionality and features within content..
Job Information Humana Manager, Utilization Management RN - Remote in Charleston ... Virginia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management..
Description The Care Management Support Assistant 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 wellness ..
Job Information Humana Manager, Specialty Pharmacy Sales in Charleston West Virginia Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route ..
Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..
... RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Charleston ... Care Managers, because our case management services are centered on the ... Previous adult chronic conditions care..
Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes process data to initiate, develop and ..
... RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Charleston ... Care Managers, because our case management services are centered on the ... Previous adult chronic conditions care..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... training and by leader. Utilization Management Nurse 2..
