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... in developing a robust integrated care delivery model that integrates insurance ... insurance with high value health care services, such as Primary Care, Home Care, and Pharmacy. Humana is..
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... revisions; Implement Utilization Management and Care Management Compliance Audit team to ... assure high quality and compliant care is delivered across Medicaid; Implementing ... decisions and provide access to..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
Description The Care Coach 1 assesses and evaluates ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Coach 1 work..
... platforms, and progressive approaches to care drive Humana Military to be ... Post Discharge Call (PDC) Telephonic Care Manager will be part of the ... part of the Humana..
Description Responsibilities The Telephonic Care Manager will be part of the ... part of the Humana Military Care Management team; providing a comprehensive, ... programs throughout the continuum of care...
Description Humana is a $77 billion (Fortune 41) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
... experience with requests for appropriate care and setting(s), guidelines and policies ... necessity review and level of care review for requested services. Educate ... address the BH levels of..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... platforms, and progressive approaches to care drive Humana Military to be ... the Government. Responsibilities The Telephonic Care Manager..
Description The Care Management Support Assistant 3 contributes ... 3 contributes to administration of care management. Provides non-clinical support to ... with resources appropriate for the care and wellbeing of..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied ..
... promotion and disease prevention and care management services. The Wellness Coach ... individual regarding educational and health care needs. May communicate with primary ... needs. May communicate with primary..
Job Information Humana Telephonic Care Coach -WAH Nationwide in Montpelier ... in Montpelier Vermont Description The Care Coach 1, in a telephonic ... with resources appropriate for the care and..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..