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Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..
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... telephonic messages from patients for health care concerns, medication refill requests ... up needs in the Electronic Health Record. Essential Functions: POLICIES, PROCEDURES ... Maintain a cooperative relationship among..
... 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..
Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team working remote/from home anywhere in the U.S. Responsibilities As a Board Certified ..
... Independently promote and restore patients' health through direct nursing care to ... Maintain a cooperative relationship among health care teams and resolve patient ... to document and communicate pertinent..
... on medical background and reviews health claims. The Medical Director work ... phone to gather additional clinical information or discuss determinations regularly, and ... relationships, value based care, population..
Job Information Humana Actuary, Risk and Compliance ... Compliance role assesses and communicates information regarding actuarial/business risks across the ... healthcare company committed to putting health and safety first for..
... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide health education and value-added, well-being services ... and community members improve their..
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 ..
... profitability while improving our member's health and costs. This role functions ... trend while improving our member's health and costs. Developing concrete trend ... trend mitigation opportunities from abstract..
... patient care. Ensure adherence to health system, hospital and departmental policies ... Maintain a cooperative relationship among health care teams and resolve patient ... locations. Contacts frequently contain confidential/sensitive..
Job Information Humana Physician - CenterWell - ... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide health education and value-added, well-being..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
... ID 21000HHAAvailable Openings 1Position Specific Information Full Time 40 hours per ... disease, and offer patient-specific, detailed information about nutritional status, adequacy measures ... accurate documentation of all appropriate..
... to capture a member's true health status at the time of ... to accurately report patient's true health status Demonstrate analytical and problem-solving ... receiving and validating accurate HCC..
... profitability while improving our member's health and costs. This role functions ... of insights from the gathered information. Responsibilities Responsibilities include the following: ... Role Desirables Board Certified Pharmacotherapy..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
