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... health claims. The Medical Director work assignments involve moderately complex to ... Job Title: Medical Director Location: Work At Home Schedule: Variable and ... to make determinations whether requested..
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... etc. As a Provider Relations Manager, you will collaborate cross-functionally with ... along the self-service spectrum Lead In-services, webinars and participate in workshops ... Just to name a few:..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... you succeed, we succeed! The Manager, Care Management oversees..
... counseling focused on the emotional, social, vocational, educational, health-related, developmental, and ... areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, ... Qualifications Master's level degree in..
... health claims. The Medical Director work assignments involve moderately complex to ... to make determinations whether requested services, requested level of care, and/or ... service should be authorized. All..
... team is expanding our shared services organization to enhance the clinical ... Chronic Condition Management programs and services utilized across all of Humana's ... most appropriate treatment, care or..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied and frequently ... of action. Responsibilities The..
... Clinical Strategy and Practice Professional work assignments involve moderately complex to ... of care review for requested services. Educate providers on utilization and ... approach for project components, and..
Job Information Humana Social Worker-MSW and licensure required- Telephonic ... Of Columbia Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral..
... members. The Care Coach 1 work assignments are often straightforward and ... active care planning. Understands own work area professional concepts/standards, regulations, strategies ... standards. Makes decisions regarding own..
Description The Director of Health Services for National Medicaid Clinical Operations ... documentation and communication of medical services and/or benefit administration determinations. The ... administration determinations. The Director, Health Services..
... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care Manager will assist beneficiaries as they ... Military TRICARE - PDC Care..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently ... of action. Responsibilities..
... to make determinations whether requested services, requested level of care, and/or ... service should be authorized. All work occurs within a context of ... context of regulatory compliance, and..
... Autism Spectrum Disorder (ASD) related services in accordance with the Autism ... Service Navigator (ASN) by coordinating services and researching necessary resources to ... beneficiary and increase access to..
... intervention focused on the emotional, social, vocational, educational, health-related, developmental, and ... EAP Senior Counselor, Management Consultant work assignments involve moderately complex to ... approach for project components, and..
... Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare ... Columbia Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product..
... members. The Care Coach 1 work assignments are often straightforward and ... specific care plan and coordinates services Ensures members are receiving services in the least restrictive setting .....
Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently ... Humana is seeking..
