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Description The Manager, 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 Manager, Pre-Authorization ..
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Description The Manager, Clinic/Center Administration plans and directs the work of professional and support personnel who provide outpatient care to patients in a clinical setting. The Manager, Clinic/Center Administration works within ..
Description Responsibilities Why should you consider this opportunity? We are looking for an IT Project Manager- level 1 to join our Conviva family. You will join a company: With a national ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Job Information Humana Telephonic Behavioral Health Care Manager in Miami Florida Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or ..
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 Conviva, a wholly-owned subsidiary of Humana, Inc., ..
Description The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate ..
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 EliteHealth is committed to bringing high quality healthcare in the Florida Market and is proud to be a part of the largest Senior Primary Care Organization in the country. We ..
Job Information Humana Regional Manager, Clinic Administration in Miami Florida Description The Regional Manager, Clinic/Center Administration plans and directs the work of professional and support personnel who provide outpatient care to ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... you.Weu2019re currently seeking a Case Manager RN to join our amazing ... amazing team.Details of the Case Manager RN opening:Anticipated start date: 03/07/2022Salary: ... of Responsibilities of the Case..
The Department of Patient Experience has an exciting opportunity for a Full-Time Patient Experience, Program Manager to work on the UHealth Campus. The Patient Experience, Program Manager is responsible for proactive ..
Job Information Humana Manager, Fraud and Waste-Remote US in Miami Florida Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
