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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...
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 Care Manager, Telephonic Nurse 2 , in a telephonic environment, ... The Care Manager, Telephonic Nurse 2 work assignments are varied and ... The Care Manager, Telephonic Nurse..
... 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..
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...
... 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,..
... 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 Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are..
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 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..
... 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..
Job Information Humana Care Manager, Telephonic Behavioral ... Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Glen Allen Virginia Description ... Defense to administer the TRICARE health..
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 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..
... 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 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 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..
