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... & Appeals Professional manages enrollee and provider disputes arising under Humana's ... State Fair Hearings, provider complaints, and claims-related disputes (the Grievance System.) ... timely, complete responses to members..
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... ministry through our compassionate care and exceptional service. At Mercy, we ... the most of your skills and talents, but also your heart. ... also your heart. Join us..
... to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization ... 2 work assignments are varied and frequently require interpretation and independent determination..
... non-clinical support to the assessment and evaluation of member' needs and requirements to achieve or maintain ... wellness by guiding member/families toward and facilitating interaction with appropriate resources .....
... on interpretation of area/department policy and methods for completing assignments. Works ... parameters to identify work expectations and quality standards, but has some ... has some latitude over prioritization/timing,..
... community through community advocacy programs and active engagement with community members. ... community members. He/she builds visibility and credibility of organization's products and services throughout community via chats, .....
... 2 utilizes behavioral health knowledge and skills to support the coordination, ... to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization .....
... Guide (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by ... state by guiding members/families toward and facilitate interaction with..
... Care Manager (Mom's First/Maternity) assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by ... state by guiding members/families towards and facilitates interaction with..
... (Care Manager, Behavioral Health) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by ... state by guiding members/families toward and facilitate interaction with..
... (Care Manager, Physical Health) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by ... state by guiding members/families toward and facilitate interaction with..
