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... member's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... guidelines/procedures. Job Overview Humana At Home is a division of Humana ... in achieving and maintaining optimum..
... The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, ... The Care Manager, Telephonic Behavioral Health 2 work assignments are varied ... a Care Manager, Telephonic Behavioral..
Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization ... as needed. The Pre-Authorization Behavioral Health Professional 2 work assignments are ... action. Responsibilities Location: work at home,..
... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide health education and value-added, well-being services ... and community members improve their..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
... acute inpatient care Experience in Home Health, DME Licensed Registered Nurse (RN) ... or cable modem for a home office (Satellite and Wireless Internet ... This is a WAH..
... you been thinking it is time to advance your career into ... starting this role. Work at Home Requirements Must have the ability ... or cable modem for a..
... teams of nurses and behavior health professionals responsible for care management. ... can be used as a home office to ensure you have ... or cable modem for a..
... years of clinical experience within Home Health field Previous experience in medical ... reviews/auditing or extensive experience in Home Health Comprehensive understanding of all related ... Comprehensive understanding of..
Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product Strategy team. The Senior Clinical Business Professional work assignments involve moderately complex to complex issues where the ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
... contracted working relationship with the health plan. The Senior Provider Engagement, ... Professional represents the scope of health plan/provider relationship across such areas ... quality and clinical management, population..
... Defense to administer the TRICARE health program for military members, retirees ... has strived to create better health outcomes and simplified experiences for ... assist beneficiaries as they transition..
... country. Healthcare isn't just about health anymore. It's about caring for ... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide..
... relevant experience Licensed Practical Nurse (LPN), licensed in the state of ... or cable modem for a home office (Satellite and Wireless Internet ... & Medicaid recipients Prior nursing..
... Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in ... Defense to administer the TRICARE health program for military members, retirees ... has strived to create better..
