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Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
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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 ..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Riverton Wyoming Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the Autism ..
... their optimal health. Apply your clinical knowledge to educate and empower ... healthcare decisions. Provide guidance and clinical expertise on how to navigate ... services as deemed appropriate. Understand..
... Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Riverton Wyoming Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Riverton Wyoming Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
Description The Medical Coding Coordinator 2 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 ..
... minimum of three years of clinical nursing experience. Demonstrated clinical knowledge and expertise as evidenced ... solving and appropriate application of clinical knowledge Must have a separate ... minimum..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral ..
Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States Only in Riverton Wyoming Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and ..
Job Information Humana Weekend Shift- RN Utilization Management Behavioral Health Nurse 2 - Compact License Required in Riverton Wyoming Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ..
Description The Supervisor, Care Management Support 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 RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Riverton Wyoming Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Riverton Wyoming Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible for ..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Riverton Wyoming Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
... bridge the gap and integrate clinical and self-management aspects of diabetes ... active decision makers with their clinical treatment team. In this role, ... practice/process based on findings. Understands..
Description The Network Operations Coordinator 3 manages provider data including but not limited to demographics and contract accuracy. Additional Information - How we Value You Benefits starting day 1 of employment ..
... of life and achieve desired clinical outcomes. As part of the ... for all activities within the clinical spectrum. This will include coordination ... (BH) Professional to include: Licensed..
Job Information Humana Nurse Advice Line Telephonic Nurse - Remote- RN Compact License States Only in Riverton Wyoming Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses ..
... Humana RN, Senior Stars Improvement, Clinical Professional in Riverton Wyoming Description ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible ... Program. The Senior Stars Improvement,..
