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Description The Stars Improvement Coordinator 2 assists with implementing the ... and initiatives. The Stars Improvement Coordinator 2 represents the company through ... to care. The Stars Improvement Coordinator 2..
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... appointment availability, collaborating with Field Operations to address network inadequacy, and ... as outlined in the TRICARE Operations Manual (TOM), the TRICARE Reimbursement ... Electronic Questionnaire for Investigation Processing)...
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 Compact License-Utilization Management Behavioral Health Professional 2--Remote, MI, NV, CA, OH in Las Vegas Nevada Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Las Vegas Nevada Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with ..
Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
Job Information Humana Telephonic Care Manager in Las Vegas Nevada Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for ..