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Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic ... Advisor (Care Manager, Telephonic Behavior Health 2) will audit CPT (Current Procedural ... Care Demonstration). Responsibilities The Behavioral Health Clinical..
Description The Manager, Care Management leads teams of nurses and ... teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines..
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Description The Process Improvement Professional 2 analyzes, and measures the effectiveness ... process improvements. The Process Improvement Professional 2 work assignments are varied and ... Come In The Process Improvement..
Description The Senior Health Information Management Professional ensures data integrity for claims ... for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex ... variable factors...
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and ... good for the Soul...
... the Associate Director, IT Project Management, you will use your background ... background and experience in program management to lead and manage a ... The Associate Director, IT Project..
... The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term ... contracted working relationship with the health plan. The Senior Provider Engagement, ... The Senior Provider Engagement, Clinical..
Description The Behavioral Health Parity Compliance Lead will play ... role in the oversight and management of our Mental Health Parity Compliance Program. Responsibilities This ... for monitoring all related..
... The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, ... The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and ... The Care Manager,..
... The Care Manager, Telephonic Nurse 2 , in a telephonic environment, ... The Care Manager, Telephonic Nurse 2 work assignments are varied and ... RN Care Manager, Telephonic Nurse..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ... optimal reimbursement. The Nurse Auditor 2 work assignments are varied and ... action. Responsibilities The Nurse Auditor 2 validates..
Description The Care Management Support Assistant 3 contributes to ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care Management Support Assistant..
Description The Utilization Management Nurse utilizes clinical nursing skills ... benefit administration determinations. The Utilization Management Nurse work assignments are varied ... good for the Soul. Join Us! The Utilization..
... the emotional, social, vocational, educational, health-related, developmental, and organizational concerns that ... lives. Responsibilities The EAP Counselor 2 addresses a wide range of ... and knowledge of general mental..
... Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, ... Senior Clinical Strategy and Practice Professional work assignments involve moderately complex ... factors. Responsibilities The Senior Behavioral..
Description The Payment Integrity Professional 2 uses technology and data mining, ... financial recovery. The Payment Integrity Professional 2 work assignments are varied and ... with Humana. The Payment Integrity..
... accounts. The Large Group Underwriter 2 work assignments are varied and ... guidance and pricing recommendations, gathering information, and consulting with customers and ... understanding of state-specific requirements and..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... for an organization that provides health insurance. The Senior Provider Contracting ... insurance. The Senior Provider Contracting Professional..
... the emotional, social, vocational, educational, health-related, developmental, and organizational concerns that ... and knowledge of general mental health, risk assessment and substance misuse ... Grief counseling, workplace problems, and..
Description Humana's Claims Cost Management (CCM) organization is seeking a ... Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud & Waste ... Required Qualifications Bachelor's..
