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Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision ..
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 ..
... or observations to the nurse supervisor.Evaluate vascular access for patency and ... any unusual findings to nurse supervisor.Obtain necessary pre and post treatment ... Report unusual findings to nurse..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Honolulu Hawaii Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for final distribution all medical records ..
DescriptionInspire and inform each patient. Allow others to achieve their most important objectives while you achieve yours. Improve their prospects-and the vitality of your career. Connect with your goals and change ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions ..
Job Description The Store Manager In Training (SMIT) job is a development focused role that is crafted to prepare you for a CVS Store Manager position. The SMIT program is designed ..
Job ID 21000M3OAvailable Openings 1PURPOSE AND SCOPE: Entry level position focuses on the development of Knowledge, Skills, and Abilities (KSA) in a supervised environment with the intent of developing performance and ..
Job Information Humana Director, Informatics in Honolulu Hawaii Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
Job Information Humana Supervisor, UM Administration-Remote in Honolulu Hawaii ... in Honolulu Hawaii Description The Supervisor, UM Administration contributes to administration ... administration of utilization management. The Supervisor, UM Administration..
POSITION FEATURES:Able to Float to all Hawaii Clinics and including GuamPURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program ..
Janitorial Zone Manager- Oahu, HI Job Description Identification Job Title: Zone Manager Department: Operations Location: Hawaii FLSA Classification: Exempt Reports To: Regional Zone Manager Status: Full Time Company Overview For over ..
Save job Refer friends Job description Commute time Loving helping others? Have a passion for care? Right at Home needs you! Perks: Flexibility! We work with you to set your schedule. ..
Job ID 21000JFRAvailable Openings 1PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals’ policies and ..
