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Description The Senior Risk Management Professional will be responsible for ... for managing third party risk management (TPRM) work streams to support ... mission. Responsibilities The Senior Risk Management Professional..
... Care Managers, because our case management services are centered on the ... Previous adult chronic conditions care management. Previous experience in care management. Knowledge of complex care management and..
... MTF CMs. Perform telephonic care management with beneficiaries throughout the East ... support groups Participate in care management and coordination of services in ... manner in accordance with Medical..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... answer provider/beneficiary inquiries. The Care Management Support..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
... of the Humana Military Care Management team; providing a comprehensive, holistic ... comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout ... As part of the Care..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... of the Humana Military Care Management team; providing a comprehensive approach ... approach for post discharge care..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... of the Humana Military Care Management team; providing a comprehensive, holistic ... approach for Behavioral Health Disease..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
Description Humana is looking for an experienced Counselor that truly enjoys helping those in need within a call center environment. Our Counselor's provide ongoing and crisis intervention counseling focused on the ..
Description The Care Management Support Assistant 3 contributes to ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care Management Support Assistant..
... The Senior Demand and Portfolio Management Professional collaborates with the business ... The Senior Demand and Portfolio Management Professional work assignments involve moderately ... The Senior Demand and Portfolio..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... we succeed! The Manager, Utilization Management Nursing..
... and clinical compliance, and case management. Serve as a Humana Military/Humana ... clinical elements. Perform telephonic case management with beneficiaries throughout the United ... focus upon policy and utilization..
Description The Experience Strategy & Transformation Lead enhances the consumer experience by architecting experiences and building capabilities that will positively impact our customers. The Experience Strategy & Transformation Lead works on ..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..
Description The Senior Portfolio Management Professional collaborates with the business ... and demand. The Senior Portfolio Management Professional work assignments involve moderately ... Description Summary The Senior Portfolio Management Professional..
Description The Wellness Coach 2 supports health promotion and disease prevention and care management services. The Wellness Coach 2 work assignments are varied and frequently require interpretation and independent determination of ..