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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 ..
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 medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
Job DescriptionRequisition ID:78833Posting Locations: CharlestonOur Secret Ingredient is our Teammates.We offer great rewards, competitive pay, career advancement and growth opportunities.Full Time Teammates are also eligible for:* Paid Training* Paid Time Off ..
Description The Cyber Security Metrics Lead will drive the effort to build a comprehensive and sustainable cyber security metrics and reporting program based on a defined strategy. They will do this ..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... Charleston West Virginia Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
Job DescriptionRequisition ID:51048Posting Locations: CharlestonOur Secret Ingredient is our Teammates.We offer great rewards, competitive pay, career advancement and growth opportunities.Full Time Teammates are also eligible for:* Paid Training* Paid Time Off ..
Job Information Centerwell Occupational Therapy Assistant , Home Health Full Time in Huntington West Virginia As a Home Health Occupational Therapist Assistant , you will: Provide therapy services planned, delegated and ..
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, 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 ..
Job DescriptionRequisition ID:48018Posting Locations: BluefieldOur Secret Ingredient is our Teammates.We offer great rewards, competitive pay, career advancement and growth opportunities.Full Time Teammates are also eligible for:* Paid Training* Paid Time Off ..
Job DescriptionRequisition ID:49267Posting Locations: ClarksburgOur Secret Ingredient is our Teammates.We offer great rewards, competitive pay, career advancement and growth opportunities.Full Time Teammates are also eligible for:* Paid Training* Paid Time Off ..
Job Information Centerwell Licensed Practical Nurse Home Health Full Time in Charleston West Virginia As a H ome Health LPN , you will: Provide professional nursing services under the direction of ..
Job DescriptionRequisition ID:70727Posting Locations: LoganOur Secret Ingredient is our Teammates.We offer great rewards, competitive pay, career advancement and growth opportunities.Full Time Teammates are also eligible for:* Paid Training* Paid Time Off ..
Job DescriptionRequisition ID:55280Posting Locations: CharlestonOur Secret Ingredient is our Teammates.We offer great rewards, competitive pay, career advancement and growth opportunities.Full Time Teammates are also eligible for:* Paid Training* Paid Time Off ..
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 ..
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 ..
3K Retention Bonus! Genesis is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We ..
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 ..