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Description The Care Manager, Telephonic Nurse 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 and ..
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 Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Portland Maine Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review ..
... do not speak the same language by converting one spoken language to another. Interpreting services include ... shall have fluency in selected language(s), other than and including English, .....
... do not speak the same language by converting one spoken language to another. Interpreting services include ... a minimum of Level 3 Language Certification, as prescribed in Tyson .....
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Humana, we want to help people everywhere, ..
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 ..