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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 Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied ..
Description The Referral Coordinator 2 schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office. The Referral Coordinator 2 performs varied activities ..
... service should be authorized. All work occurs within a context of ... context of regulatory compliance, and work is assisted by diverse resources ... this knowledge in their daily..
... Clinical Formulary Strategy Pharmacist - Work At Home in Albuquerque New ... The Clinical Formulary Strategy Pharmacist work assignments involve moderately complex to ... approach for project components, and..
Description Be a part of the CenterWell leadership team, a subsidiary whose purpose is to provide care management program support resources to physicians, physician groups, and integrated healthcare delivery systems throughout ..
... The Utilization Management Nurse 2 work assignments are varied and frequently ... and will promote high quality work while improving processes to promote ... planning including to assist with..
Description The Social Services Care Manager, in a ... 2 is a master level social worker and functions as part ... to assist members with identified Social Determinant of Health..
... Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE ... within defined parameters to identify work expectations and quality standards, but ... a face covering while at..
... application efficiency modifications. You will work closely with our Managed Services ... a face covering while at work. The weekly testing will need ... unvaccinated associates should follow all..
... health claims. The Medical Director work assignments involve moderately complex to ... service should be authorized. All work occurs within a context of ... context of regulatory compliance, and..
... Analyst that is experience in social media management and strategy to ... Analytics Professional you will develop social media marketing strategies and deliver ... and company awareness through various..
... counseling focused on the emotional, social, vocational, educational, health-related, developmental, and ... areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, ... and receives guidance where needed...
... Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Albuquerque New ... Senior Fraud and Waste Professional work assignments involve moderately complex to ... approach for project components, and..
... and CMS standards.The Director of Social Services oversees the operation of ... oversees the operation of the Social Services Department in the nursing ... to the National Association of..
... Fraud and Waste Investigator - Work At Home (Anywhere in the ... Senior Fraud and Waste Professional work assignments involve moderately complex to ... time zone. Some flexibility in..
... Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the ... a face covering while at work. The weekly testing will need ... unvaccinated associates should follow all..
... service should be authorized. All work occurs with a context of ... context of regulatory compliance, and work is assisted by diverse resources, ... this knowledge in their daily..
... Information Humana Manager, Care Management Social Services-WAH Nationwide in Albuquerque New ... Care Management leads teams of social work and social service professionals responsible for contributing ... experiences. Must..
