Medical Case Manager Jobs

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

Description Humana's Provider Process and Service organization is looking for a Project Manager 2 to join the Medical Records Management (MRM) team. You will work closely with MRM end users to ..

Job Information Humana Care Team Medical Director in Cincinnati Ohio Description ... Ohio Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..

Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..

Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..

Job Information Humana UM Medical Director - Conviva in Cincinnati ... in Cincinnati Ohio Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..

Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Cincinnati Ohio Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless nursing ..

Job Information Humana RN, Manager of Care Management (Maternal-Child Health) ... Ohio is seeking a RN, Manager of Care Management will lead ... support the delivery of high-quality case management..

Job Information Humana Manager, Care Management in Cincinnati Ohio ... Description Responsibilities The Care Management Manager has responsibilities for the administration, ... Accreditation and federal legislation. The Manager will lead..

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..

Job Information Humana Care Manager, Physical Health in Cincinnati Ohio ... Ohio Description The Field Care Manager assesses and evaluates member's needs ... members. Responsibilities The Field Care Manager Nurse..

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Cincinnati Ohio Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..

Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..

Job Information Humana Medical Director - National Medicare Team ... in Cincinnati Ohio Description The Medical Director relies on medical background and reviews preauthorization requests ... preauthorization requests for services...

Job Information Humana Medical Director - Texas in Cincinnati ... in Cincinnati Ohio Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims...

Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..

Job Information Humana Care Manager, Behavioral Health in Cincinnati Ohio ... Ohio Description The Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses and evaluates ... members. Responsibilities..

Job Information Humana Medical Director - Florida Medicaid in ... in Cincinnati Ohio Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims...

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..

Job Information Humana Manager, Care Management(Behavioral Health) - Ohio ... planning to improve effectiveness of case and disease management programs for ... management/supervisory experience. Experience in behavioral case management. Comprehensive..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors Responsibilities The..

Job Information Humana Manager, Care Management (Ohio Medicaid) - ... planning to improve effectiveness of case and disease management programs for ... of management/supervisory experience. Experience in case management. Comprehensive..