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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 The Supervisor, Consultative Pharmacy Technicians certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Supervisor, Consultative Pharmacy Technicians works within thorough, prescribed ..
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 ..
Job ID 21000MB5Available Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
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 ..
Description The Supervisor, Health Services Nursing serves as ... building out clinical capabilities. The Supervisor, Health Services Nursing oversees the ... or services for members. The Supervisor, coordinates and communicates..
Job Information Humana Supervisor, UM Administration-Remote in Lancaster South ... Lancaster South Carolina Description The Supervisor, UM Administration contributes to administration ... administration of utilization management. The Supervisor, UM Administration..
Description The Medical Coding Auditor Supervisor handles a combination of tasks, including extracting clinical information from a variety of medical records and assigning appropriate procedural terminology and medical codes (e.g., ICD-10-CM, ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, ... Lancaster South Carolina Description The Supervisor, Grievances & Appeals manages client ... an appeal is warranted. The Supervisor, Grievances &..
Description The Supervisor, Grievances & Appeals manages client ... an appeal is warranted. The Supervisor, Grievances & Appeals works within ... and analytical approach. Responsibilities The Supervisor, Grievances & Appeals..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... Lancaster South Carolina Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
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 ..
Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is warranted ..
... or observations to the nurse supervisor. Evaluate vascular access for patency ... any unusual findings to nurse supervisor. Obtain necessary pre and post ... Report unusual findings to nurse..
Job Information Humana Supervisor, Workforce Management in Lancaster South ... for a great job? The Supervisor, Workforce Management applies and integrates ... and human resource compliance). The Supervisor, Workforce Management..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Description The Care Delivery Tele Sales Supervisor supports and develops a team of Care Delivery Tele Sales Agents. The Care Delivery Tele Sales Supervisor provides timely and effective support to assist ..
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 ..
Job Information Humana Supervisor, Credentialing in Lancaster South Carolina ... South Carolina Description Responsibilities The Supervisor, Credentialing Operations is responsible for ... requested by his or her supervisor, consistent with..
