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Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description The Senior Project Manager (MarketPoint) manages all aspects of a sales project, from start to finish, to add value, on time and within budget. The Senior Project Manager work assignments ..
Description The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working ..
... Certified Diabetes Care and Education Specialist-Remote-US in Riverton Wyoming Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Job Information Humana Lead Cloud Advocate in Riverton Wyoming Description Humana Cloud Adoption Services team is looking for a Lead Technology Leadership Professional responsible to deliver new technological solutions coordinating solutions ..
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 Interested in working from home? Interested in being and advocate and making a difference in the lives of others? Join our contact center and experience a supportive team environment as ..
... is looking for an experienced Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... areas Bachelor's degree or significant..
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 ..
Allied Health (1) Executive (81) General Nursing (2247) Nursing Support (144) Operations (311) Quality/Risk Management (20) Type Contract (0) Fellowship (0) Full Time (423) Locum Tenens (0) Part Time (13) Partnership ..
... Processes Professional builds templates, standard documentation, policy and protocol, case studies, ... Qualifications Bachelor's Degree in Business, Healthcare Administration, Mathematics and/or related field ... implementation technical experience Medicaid experience..
Description The RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..
... Thorough case management, including diligent documentation of investigation activities, on-site audits, ... two years experience handling laboratory healthcare fraud investigations end to end ... analysis and reporting Knowledge of..
Description Interested in working from home? Interested in being and advocate and making a difference in the lives of others. Join our contact center and experience a supportive team environment as ..
Job Information Humana Senior Technology Leadership Professional (ServiceNow) - (Remote US) in Riverton Wyoming Description The Senior Technology Leadership Professional is responsible for all aspects of software or hardware product delivery ..
