THE LARGEST COLLECTION OF JOBS ON EARTH
healthcare
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... Demonstration). Responsibilities The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... (EFMP). Auditing for quality and clinical compliance,..
Job Information Humana Sr. Clinical Recruiter - VSP( Variable Staffing Pool) ... Dover Delaware Description The Senior Recruiter interviews prospective employees for hourly ... and professional recruiting. The Senior Recruiter..
Job Information Humana Clinical Recruiter 2 - VSP in Dover ... in Dover Delaware Description The Clinical Recruiter 2 interviews prospective employees for ... to professional level roles. The Clinical..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Dover Delaware Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions ..
... Information Humana Senior Medical/Financial Risk Clinical Professional in Dover Delaware Description ... Description The Senior Medical/Financial Risk Clinical Professional is responsible for supporting ... risk. The Senior Medical/Financial Risk..
Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that maximize customer value to create a differentiated value proposition for Humana ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
... Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent ... or services for members. Manages..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Dover Delaware Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care Manager, ..
Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States Only in Dover Delaware Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and ..
... reviews for requested services using clinical judgment and refers to internal ... processes. Enters and maintains pertinent clinical information in various medical management ... disciplinary action. 3 years of..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Description The 'voice of the provider' is key to Humana's integrated care delivery strategy. As Humana evolves from being recognized as a traditional payer to a health care company with deep ..
... with questions and mentoring of clinical staff Reviews and resolves escalated ... reviews for requested services using clinical judgment and refers to internal ... processes. Enters and maintains pertinent..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Description The Clinical Recruiter recruits and interviews prospective employees ... Organization. Humana is seeking a recruiter who is a self-starter, able ... that support each market. The Clinical Recruiter assignments..
Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..
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 ..
... Humana RN, Senior Stars Improvement, Clinical Professional in Dover Delaware Description ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible ... Program. The Senior Stars Improvement,..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
Job Information Humana Senior Clinical Recruiter in Dover Delaware Description The ... Dover Delaware Description The Senior Clinical Recruiter recruits qualified applicants for staff ... determines marketing approach. The Senior..
