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... to patients and family. Instructs hospital/facility staff on aspects of specialized ... to assist in an Outpatient facility on an as needed basis. ... characteristic of a health care..
Job Information Humana Strategy Advancement Lead - Humana at Home Care Management Team- WAH Nationwide in Charleston West Virginia Description About Humana Care Management: Are you passionate about the influencing strategy ..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Charleston West Virginia Description Job Description Summary The Manager, Care Management leads teams of social work and social service professionals responsible ..
Job Information Humana Technical Product Manager - Remote in Charleston West Virginia Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care Manager, ..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Job Information Humana Director, Informatics in Charleston West Virginia Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights ..
... shift! New grads welcomed! Genesis HealthCare is one of the leading ... of the leading providers of healthcare services from short-term to long-term ... through the delivery of high-quality..
... medications and all exclusions. Genesis HealthCare is one of the leading ... of the leading providers of healthcare services from short-term to long-term ... through the delivery of high-quality..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Description The Lead Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Lead Cloud Architect works on problems of diverse scope and ..
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 Pre-Authorization Registered Nurse, RN, 1 in Charleston West Virginia Description The Pre-Authorization Nurse 1 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and ..
Job Information Humana Director, Behavioral Health Strategy in Charleston West Virginia Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..
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 ..
... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... manager(s), other members of the healthcare team in a timely manner ... required by the Company and/or..
Job Information Humana Senior Financial Planning and Analysis Professional in Charleston West Virginia Description The Direct Segment Finance team is looking to hire a Senior Financial Planning and Analysis Professional to ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Charleston West Virginia Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Charleston West Virginia Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. ..
