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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Information Humana Billing & Reconciliation Representative 2-Remote in US in Morgantown West Virginia Description The Billing & Reconciliation Representative 2 determines discrepancies between company records and the records of Center ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Vice President, Product Management, Contact Center Digital, and Conversational AI Experience. ... oversee the execution of, contact..
Job Information Humana Call Quality Coach (Call Quality Professional 2) in Morgantown ... Morgantown West Virginia Description The Call Quality Coach (Call Quality Professional 2) provides information ... issues and..
... Care is a sector of healthcare exploding with potential and work-life ... Physician/Medical Director for our Rosewood Center located in Grafton, WV. This ... It is clinical in nature...
... Care is a sector of healthcare exploding with potential and work-life ... split position between our Tygart Center and Pierpont Center, located in Fairmont, WV. This ... It is..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further ..
Job Information Humana Call Quality Coach in Morgantown West ... Morgantown West Virginia Description The Call Quality Coach (Call Quality Professional 2) monitors and ... issues and performance measures. The..
Job Information Humana Consumer Experience Lead-Remote in US in Morgantown West Virginia Description The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works on ..
Job Information Humana Call Quality Coach (Call Quality Professional 2) REMOTE in ... Morgantown West Virginia Description The Call Quality Coach (Call Quality Professional 2) provides information ... issues and..
... of action through data analysis, call listening, provider outreach and insight ... root cause, telling the story, call listening, provider experience design, elimination ... issue resolution Collect insights from..
... Empathy & Time Management Inbound call Occasionally- Auto Dialer (computer makes ... Auto Dialer (computer makes the call, beep and answer phone- Outbound) ... Outbound) or manual list (outbound..
Job Information Humana Senior Onboarding Command Center in Morgantown West Virginia Description The Senior Desktop/End User Support Engineer maintains, repairs, and troubleshoots desktop hardware and software packages. Also responsible for customer ..
... courses of action, data analysis, call listening, provider outreach and ability ... root cause, telling the story, call listening, provider experience design, elimination ... issue resolution Collect insights from..
Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing ..
3K Retention Bonus! Genesis is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We ..
... Care is a sector of healthcare exploding with potential and work-life ... work-life balance flexibility (no on call or weekends)! We are seeking ... week) provider for our Tygart..
Job Information Humana Sr. Digital Consumer Experience Professional-Remote in US in Morgantown West Virginia Description The Senior Consumer Experience Professional ensures optimized interaction between a company and members. The Senior Consumer ..