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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..
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... 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,..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
... 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..
... 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..
Description The Utilization Management Nurse 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 are ..
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 ..
... 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..
Description The 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 anywhere..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... determinations. The Utilization Management Behavioral Health Professional 2 work assignments are ... action...
... 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..
... 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..
... 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..
... 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..
Description Humana's recently created Clinical Resource Team is looking to grow the team with an Inpatient Senior Medical Coding Auditor roles! This is a unique team that's primary role is to ..
... 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..
