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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 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 The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
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 Senior Data Manager - Primary Care Organization in Honolulu Hawaii Description The Senior Data Manager supports all aspects of configuration control, data management, and deficiency reporting. The Senior ..
... 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..
... Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Honolulu ... Honolulu Hawaii Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH ... Honolulu Hawaii Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager,..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Data Manager / ETL Developer - Primary Care Organization in Honolulu Hawaii Description The Data Manager 2 supports all aspects of configuration control, data management, and deficiency reporting. ..
Job Description Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH ... Honolulu Hawaii Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager,..
Job Information Humana Manager, Fraud and Waste-Remote US in Honolulu Hawaii Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Job Information Humana Clinical Analytics and Trend Program Manager in Honolulu Hawaii Description The Clinical Strategy and Practice Lead builds strategies for development, engagement, best clinical practices and processes for clinical ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Honolulu ... Honolulu Hawaii Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager,..