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... Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently ... a member's physical, environmental and psycho-social health issues. Identifies and resolves ... areas. Makes decisions regarding own..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
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 ..
... 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..
... 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..
... 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..
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..
... Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Springfield Missouri ... Senior Fraud and Waste Professional work assignments involve moderately complex to ... approach for project components, and..
... 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...
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 ..
... Information Humana Manager, Care Management Social Services-WAH Nationwide in Springfield Missouri ... Care Management leads teams of social work and social service professionals responsible for contributing ... experiences. Must..
... Clinical Formulary Strategy Pharmacist - Work At Home in Springfield Missouri ... 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 ..
A law firm seeks an Associate Attorney for its Springfield, MO office. The candidate will be responsible for:Duties:Taking depositions of Plaintiffs/Claimants, witnesses, experts, and other partiesConducting discoveryPerforming legal researchRemaining current with ..
Description The Field Care Manager, Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources ..
... 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..
Description The Senior Clinical Business Professional assists in the development and stabilization strategy of all Care Management program activities in all existing, new and expansion markets. This role will assist in ..
... 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..
Smaller hospital just outside of Springfield, Missouri is seeking an additional Neurologist. This is a great opportunity to join a highly regarded Mayo trained Neurologist with 25 years' experience and the ..
