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... member's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... in achieving and maintaining optimum health. We provide telephonic outreach to ... to assess and support their..
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Job Information Humana Care Manager, Telephonic Nurse ... Certified Diabetes Care and Education Specialist-Remote-US in Anchorage Alaska Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and..
Job Information Humana UM Medical Director - ... on medical background and reviews health claims. The Medical Director work ... phone to gather additional clinical information or discuss determinations regularly,..
... is calling a Clinical Nurse Specialist Advanced - ED (Ak Nursing ... groups of patients to promote health or well-being and improve quality ... the advanced nursing management of..
... around times and other pertinent information. Comply with lab and hospital ... Providence Alaska Medical Center** Providence Health & Services Alaska is among ... The National Business Group on..
Job Information Humana FP&A Lead, Medicaid Market ... to provide accurate and timely information for strategic and operational decisions. ... compiles, verifies, and analyzes financial information and economic indicators so..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
... to obtain patient and drug information and process prescriptions. If PTCB ... to enter patient and drug information, ensuring information is entered correctly, filling prescriptions ... including physicians, nurses,..
... strategy by collecting broad based information and gathering resources and data ... order to prepare the Behavioral Health( BH) Clinical Team with the ... corrected facility, MD, and diagnosis..
Job Information Humana Pre- Authorization Nursing Supervisor-- ... management processes, entering/maintaining pertinent clinical information in various medical management systems. ... Qualifications Bilingual (Spanish) strongly preferred Health plan experience Prior Medicare/Medicaid..
Description The Behavioral Health Medical Director responsible for behavioral ... Medical Director responsible for behavioral health care strategy and/or operations. The ... strategy and/or operations. The Behavioral Health Medical Director..
... assurance logs and quality improvement information data, and meeting regulatory standards. ... samples for testing or related information. Operate multiple communication and telecommunication ... Hospital is owned by Providence..
... iCare is seeking an Enrollment Specialist who will support the iCare ... BadgerCare Plus. Responsibilities The Enrollment Specialist is responsible for iCare enrollment ... maintenance of the iCare eligibility..
... on medical background and reviews health claims. The Medical Director work ... Humana Government Business's (HGB) Behavioral Health Medical Director will provide clinical ... provide clinical oversight to Behavioral..
... including signatures and related billing information. Understand and adhere to all ... results, specimen requirements, and other information as able. Direct calls or ... responsibilities. Contribute accurate statistics or..
Job Information Humana Medical Director - Medicare ... management organizations, hospitals/Integrated Delivery Systems, health insurance, or other healthcare providers, ... Advantage, managed Medicaid, or Commercial health insurance Experience with national..
Job Information Humana Senior Fraud and Waste ... Waste, and Abuse in the Health Care Industry? If this resonates ... understanding of business operations Additional Information COVID Vaccination Policy: For..
... is calling a Call Center Specialist (Food and Nutrition,** **Variable Shift, ... documentation Act a New Admit Specialist (NAS) as scheduled to explain ... medical staff, employee and other..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Anchorage Alaska Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
... on medical background and reviews health claims. The Medical Director work ... management, discharge planning and/or home health or rehab Preferred Qualifications Medical ... hospitals and experience, working with..