Case Jobs in Dover

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 ..

Job Information Humana Workforce Management Professional 2 - Case/Care Management in Dover Delaware Description The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to ..

... courses of action. Responsibilities The Case Manager will be a member ... be a member of the Case Management Team, providing a comprehensive, ... a comprehensive, holistic approach for..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Full-Time Case manager position working with foster care youth in the New Castle County area. Must have a flexible schedule and experience managing heavy caseloads. Bachelor's degree preferred, AA degree required ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Part-time case manager position: working with foster care youth in New Castle County area. Must have flexible schedule and experience managing heavy caseloads. Bachelor's degree preferred, AA degree required in Human ..

Full-Time Case manager position working with foster care youth in the New Castle County area. Must have a flexible schedule and experience managing heavy caseloads. Bachelor's degree preferred, AA degree required ..

Full-Time Case Manager working with foster care youth in the Kent/Sussex County areas. Must have a flexible schedule and experience managing heavy caseloads. Bachelor's degree preferred, AA degree required in Human ..

Job Information Humana Senior Product Manager - Clinical Strategy and Analytics in Dover Delaware Description We are looking for a dynamic Senior Product Manager to develop clinical solutions for our members ..

Independent Living Program Manager in our New Castle County office. Bachelor's degree preferred Associate's degree in Human Services or 2 years equivalent experience and training is required. Must be able to ..

Full-Time Case manager position working with foster care youth in the New Castle County area. Must have a flexible schedule and experience managing heavy caseloads. Bachelor's degree preferred, AA degree required ..

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description Deliver a simplified Dental Provider Experience by driving digital and technology solutions forward in a cross collaborative and influential manner Identify the solutions and structure needed to provide exceptional service ..

Part-time position working in Sussex and Kent County. Schedule will be flexible. Duties include providing assistance to individuals in the areas of education, employment, transportation, housing, etc. Must have an AA ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

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 Contingent Labor Category Lead generates and implements efficient sourcing and category management strategies for non-clinical Contingent Labor and Recruiting Services across the enterprise. The Contingent Labor Category Lead will ..

Description Humana's Director, Observability Products is a pivotal role in driving and maturing the Enterprise Observability capabilities. Responsibilities Key Responsibilities include, but are not limited to: partner with architecture, operations, engineering ..

Description The Director, Data Science uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Director, Data Science requires an in-depth ..

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 facilitate ..