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Description The Field Care Manager NP 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 ..
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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 Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor ..
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..
Description The Clinical Programs Pharmacy Technician integrates programs developed to improve overall health outcomes with a focus on prescription drugs. The Clinical Programs Pharmacy Technician performs varied activities and moderately complex ..
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 ..
... Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) in Cincinnati Ohio Description ... in Cincinnati Ohio Description The Bilingual Claims Research and Resolution Representative ... perks for well-being..
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 Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assignments centered ..
Summary: The Interpreter will facilitate effective communication between two parties that do not speak the same language by converting one spoken language to another. Interpreting services include but are not limited ..
Description The Consultative Pharmacy Technician 1 certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Consultative Pharmacy Technician 1 performs basic administrative/clerical/operational/customer support/computational ..
Description Humana is continuing to grow nationwide! We have several new Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicare Members and provide excellent ..
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 Care Management Support Assistant 2 (CMSA2) 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 ..
... Rep 2 - English OR Bilingual English and Spanish in Cincinnati Ohio Description The ... performed for English and or bilingual Spanish during screen and/or interview. Anticipated ... Fluency..
Description The Consultative Pharmacy Technician 2 certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Consultative Pharmacy Technician 2 performs varied activities and ..
Job Information Humana Social Worker - Telephonic Behavioral Health- WAH Nationwide in Cincinnati Ohio Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' ..
Job Information Humana Social Worker - Telephonic Behavioral Health-SNP- WAH Nationwide in Cincinnati Ohio Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' ..
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 Social Worker-MSW and licensure required- Telephonic Behavioral Health-SNP- WAH Nationwide in Cincinnati Ohio Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and ..
Description The Bilingual Claims Research and Resolution Representative ... Where you Come In The Bilingual Claims Research & Resolution Representative ... it takes to Succeed Fully Bilingual English/Spanish. Must be..