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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 21000MG8Available 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 ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, ... in Pittsburgh Pennsylvania 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 ... in Pittsburgh Pennsylvania Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
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 ..
We have an immediate opportunity for Nurse Supervisors. 7p-7:30a, 3 days per week General Summary: The Nursing Supervisor assists in the organization, development, management and administration of nursing service activities. Assists ..
Job Information Humana Supervisor, Credentialing in Pittsburgh Pennsylvania Description ... Pittsburgh Pennsylvania Description Responsibilities The Supervisor, Credentialing Operations is responsible for ... requested by his or her supervisor, consistent with..
Job Description Position Summary Are you a skilled Pharmacy Technician looking to advance your career? Looking to change into a closed-door pharmacy setting and gain new skillsets? Join our Omnicare closed-door ..
POSITION FEATURES:The program will cover the Acute Dialysis Program at Washington Hospital2021 America's 'Most Loved Workplaces' by NewsweekNo prior healthcare experience required, on the job paid training to become nationally certified, ..
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 ..
RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..
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 ..
Job Information Humana Supervisor, UM Administration-Remote in Pittsburgh Pennsylvania ... in Pittsburgh Pennsylvania Description The Supervisor, UM Administration contributes to administration ... administration of utilization management. The Supervisor, UM Administration..
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 ..
DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change ..
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, Workforce Management in Pittsburgh Pennsylvania ... for a great job? The Supervisor, Workforce Management applies and integrates ... and human resource compliance). The Supervisor, Workforce Management..