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... efficiency and new levels of service to our MA Members. You’ll ... with large system migrations in healthcare, and if you have experience ... Software implementation experience in the..
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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... members. Responsibilities The Field Care Manager, Behavioral Health 2 work assignments ... a Care Management Entity. Care Manager Plus serves as the single ... Position Responsibilities: The Field Care..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Canton Ohio Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
... Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in ... seeking a RN Field Care Manager 2 with Maternity, L&D, Mother ... optimal wellness. The Field Care..
... medical coding auditor to handle provider disputes and appeals in a ... by increasing the accuracy of provider contract payments in our payer ... their home. We are a..
Job Information Humana Care Manager, Registered Nurse, RN in Canton ... is seeking a Field Care Manager to assess and evaluate member's ... Company! Responsibilities The Field Care Manager Nurse..
... levels to meet care and service quality objectives. Support orientation and ... years' experience working in the healthcare setting. Minimum two (2) years ... management. For Behavioral Health, C.M...
Job Information Humana Manager, Care Management(Behavioral Health) - Ohio ... levels to meet care and service quality objectives. Support orientation and ... years' experience working in the healthcare setting. Minimum..
... medical coding auditor to handle provider disputes and appeals in a ... by increasing the accuracy of provider contract payments in our payer ... job as we are a..
... Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother ... seeking a RN Field Care Manager 2 with Maternity, L&D, Mother ... optimal wellness. The Field Care..
Job ID: 4052121 Application Deadline: Posted until Filled Posted: October 3, 2022 Starting Date: Immediately Job Description The RN Case Manager is a position through the Comprehensive School Health Services (CSHS) ..
Description The Manager, Risk Adjustment oversees coding educators ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific ... schedules and goals. Responsibilities The Manager, Risk Adjustment oversees..
... Health Equity and Community Engagement Manager. Responsibilities Responsibilities: Health Equity and ... disparities in health care access, service provision, satisfaction, and outcomes. Primary ... and seeking feedback from Enrollee,..
About this job Find your commute About Akron Children’s Hospital Akron Children’s Hospital has been caring for children since 1890, and our pediatric specialties are ranked among the nation’s best by ..
Job Information Humana Care Manager, Licensed Behavioral Health Professional or ... Ohio Description The Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses and evaluates ... members. Responsibilities..
... independently refer suspected member fraud, provider fraud, and member abuse cases ... meetings Required Qualifications Experience in healthcare, healthcare investigations, and/or risk management Supervisory ... Master's degree in Law,..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Experience - Shopping, Enrollment, & Self-Service. In this role, you set ... Humana.com marketing, shopping, enrollment, and..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Vice President, Digital Experience - Self-Service. In this role, you set ... execute the vision of Humana.com..
... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... contact with patients, physicians, clinical manager(s), other members of the healthcare team in a timely manner .....
Job Information Humana Care Manager, Registered Nurse, RN - Maternity, ... Ohio Description The Field Care Manager assesses and evaluates member's needs ... members. Responsibilities The Field Care Manager Nurse..
