Healthcare Scheduling Jobs

Job Information Humana Social Worker - Telephonic Behavioral Health in Honolulu Hawaii Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and ..

Job Information Humana Value-Based Strategies -- CMS Programs Provider Engagement Lead in Honolulu Hawaii Description Value-Based Strategies - CMS Programs Provider Engagement Lead will support Humana through successful participation in CMS/CMMI ..

Job Information Humana Clinical Recruiter 2 - VSP in Honolulu Hawaii Description The Clinical Recruiter 2 interviews prospective employees for hourly and salaried positions. Assists with Pharmacy recruiting from entry level ..

Description Humana's Claims Cost Management (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud ..

Job Information Humana Social Worker - Telephonic Behavioral Health- WAH Nationwide in Honolulu Hawaii Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' ..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Honolulu Hawaii Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..

Job Information Humana Sales Support Representative - Honolulu, HI in Honolulu Hawaii Description Are you passionate about contributing to the well-being of the Medicare population? Would you like to provide support ..

Job Information Humana Clinical Analytics and Trend Program Manager in Honolulu Hawaii Description The Clinical Strategy and Practice Lead builds strategies for development, engagement, best clinical practices and processes for clinical ..

Job Information Humana Social Worker-MSW and licensure required- Telephonic Behavioral Health-SNP- WAH Nationwide in Honolulu Hawaii Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and ..

Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

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 ..

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 The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..

Client Caregiver/Nurse Aide Wilson Homecare is looking for professional caregivers/nurse aides to care for our clients. We are a growing homecare agency with clients throughout the island of Oahu. Wilson's philosophy ..

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..

Job Information Humana Senior Product Management Professional / Release Train Engineer in Honolulu Hawaii Description The Senior Product Management Professional / Release Train Engineer must be able to lead, plan and ..

Job Information Humana Telephonic Care Coach -WAH Nationwide in Honolulu Hawaii Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain ..

Job Information Humana Provider Contracting Professional - Behavioral Health in Honolulu Hawaii Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider contracts and ..

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 Social Worker - Telephonic Behavioral Health-SNP- WAH Nationwide in Honolulu Hawaii Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' ..

Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..

Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..