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Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... you succeed, we succeed! The Manager, Care Management oversees..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... compact state The Transplant Care Manager, Telephonic Nurse..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Description The Transplant Care Manager, Telephonic Nurse 2 , in ... of members. The Transplant Care Manager, Telephonic Nurse 2 work assignments ... home anywhere The Transplant Care Manager, Telephonic..
Description The Care Manager, Telephonic Nurse 2 employs a ... titled Care Managers, because our case management services are centered on ... skills. This is a very compliance driven and..
Job Information Humana Lead Product Manager - Enrollment (Remote) in Dover Delaware Description The Lead Product Manager conceives of, develops, delivers, and manages products for customer use. The Lead Product Manager ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Dover Delaware Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC ... Dover Delaware Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Dover Delaware Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
Job Information Humana Workforce Management Professional 2 - Case/Care Management in Dover Delaware Description The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to ..
... within a context of regulatory compliance, and work is assisted by ... meeting departmental expectations, and meets compliance timelines. Supports the assigned work ... on quality management, utilization management,..
... with a context of regulatory compliance, and work is assisted by ... meeting departmental expectations, and meets compliance timelines. Supports the assigned work ... care, quality management, utilization management,..
Job Information Humana Medicare Appeals and Grievance Medical Director in Dover Delaware Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
... by other healthcare professionals in compliance with review policies, procedures, and ... meeting departmental expectations, and meets compliance timelines. Supports the assigned work ... on quality management, utilization management,..
Job Information Humana Director, Contract Tools, Education, Processes (remote Eastern time zone) in Dover Delaware Description The Director, Contract Tools, Education, Processes manages templates, standard documentation, policy and protocol, case studies, ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state and federal requirements ... planning to improve effectiveness of..
Job Information Humana Medical Director - National Medicare Team in Dover Delaware Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
Description The Lead Product Manager conceives of, develops, delivers, and manages products for customer use. The Lead Product Manager works on problems of diverse scope and complexity ranging from moderate to ..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Dover ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... auditing for quality and clinical compliance,..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Dover Delaware Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..
Description The Care Manager, Telephonic Behavioral Health 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 ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... auditing for quality and clinical compliance, and case management. Serve as a Humana ... ABA treatment plans for policy..
