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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 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 ..
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 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 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 Manager, Care Management leads teams of nurses ... behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines ... succeed, we succeed! The..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Glen Allen Virginia Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..
Description The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require ..
- Review residents background information during the initial interview and obtain case history and prepare intake reports - Assess residents relevant skills strengths and needs - Assist clients to sort out ..
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 ..
... 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 ..
