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... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal care and treatment. Understands department, segment, ... Surgery, Heart, Lung or Critical..
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Description ** Role is open to remote/virtual/home office post-covid. Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do ..
Job Information Humana Care Manager, Telephonic Nurse - Remote ... Juan Puerto Rico Description The Care Manager, Telephonic Nurse, in a ... with resources appropriate for the care and wellbeing..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
Description The Business Support Coordinator 2 follows established procedures and guidelines to provide timely and effective clerical support to an office, business unit, department, or other organization group. The Business Support ..
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 ..
Job Information Humana Clinical Programs Pharmacy Technician 1 (Fully Bilingual English/Spanish. Managed Care/Health insurance exp a MUST) Work at Home - San Juan, PR in San Juan Puerto Rico Description The ..
Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in San Juan Puerto Rico Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews ..