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... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal care and treatment. Understands department, segment, ... required to practice Prior acute..
Description ** Role is open to remote/virtual/home office post-covid. Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do ..
Description The Transplant Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and wellbeing of members. The ... wellbeing of members. The Transplant Care Manager, Telephonic..
Description The Manager, Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management ..
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 ..
... will work with Humana Primary Care Organization's internal business partners to ... Professional will assist the Compliance Manager/Assistant Director in managing the Compliance ... will report directly to the..
Description The Care Manager, Telephonic Nurse 2, in ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic Nurse..
... whose purpose is to provide care management program support resources to ... careers. At Partners in Primary Care, we're seeking innovative people who ... whole. Responsibilities CenterWell Senior Primary..
... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal care and treatment. Understands department, segment, ... transition to alternate level of..
Description The Inbound Contacts Representative 1 (Go365 Calls Rep) represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs operational/customer support/computational tasks. Typically works ..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly jump ..
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 ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Louisville Kentucky Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
Job Information Humana Humana Seasonal Opportunities for AEP (Work at Home) - Louisville KY in Louisville Kentucky Description It's that time of year!! Humana is looking for several extraordinary individuals to ..
Description The Care Management Support Assistant 2 contributes to administration of ... 2 contributes to administration of care management. Provides non-clinical support to ... with resources appropriate for the care..