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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...
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... 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 Care Management Support Assistant 2 contributes to administration of care ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care..
... 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 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..
... 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..
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..
... 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 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..
... SeniorBridge/Humana is seeking a Care Management Support Assistant. This professional contributes to the successful administration ... better. We provide concierge care management, private duty nursing, and personal ... to..
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..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals ... involves processing referrals into medical management system with emphasis on accuracy ... answer provider/beneficiary inquiries. The..
... 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..
... Defense to administer the TRICARE health program for military members, retirees ... has strived to create better health outcomes and simplified experiences for ... of the Humana Military Care..
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..
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 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..
Job Information Humana Care Manager, Telephonic Behavioral ... Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Dover Delaware Description Humana ... Defense to administer the TRICARE health..
