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Description The UM Specialist contributes to administration of utilization ... of utilization management. The UM Specialist performs varied activities and moderately ... achieve lifelong well-being. Use your clinical experience to..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... Responsibilities The Care Manager, Telephonic Nurse..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates ... and quality. The Quality Assurance, Clinical Professional 2 work assignments are ... you should strongly consider the Clinical Quality..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... and by leader. Utilization..
Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..
... care management. The CMSS provides non-clinical support to the assessment and ... wellbeing of members. The Support Specialist performs varied activities and moderately ... assignments. CMSS's work collaboratively with..
Description The UM Specialist contributes to administration of utilization ... of utilization management. The UM Specialist performs varied activities and moderately ... UM Administration Coordinator 2 provides non-clinical support for..
... life cycle of member journey (sales/onboard/service/clinical). Provides data-based strategic direction to ... optimize overall growth and retention, clinical, and experience strategies. Develops and ... including but not limited to:..
... Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and ... Certified Diabetes Care and Education Specialist-Remote-US in Riverton Wyoming Description The ... Certified Diabetic Care and Education..
Description The RN Clinical team is looking for a ... looking for a dynamic Registered Nurse to join the team working ... will be someone who applies clinical and coding..
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 all ..
