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Director of Case Management - Registered Nurse RN','00309-7866','United ... sponsoring GME. The Director of Case Management demonstrates twenty four hour ... responsibility and accountability in ensuring case management process is..
Manager of Case Management - Registered Nurse RN','00144-11413','United ... Bariatric Centers. The Manager of Case Management assists in the planning, ... planning, monitoring, and delivery of Case Management and CRM..
Director of Case Mangement - Registered Nurse RN','01385-8862','United ... Bay Times. The Director of Case Management demonstrates twenty four hour ... responsibility and accountability in ensuring case management process is..
Description The Manager, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Manager, Pre-Authorization ..
Description The Director, Business Intelligence solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Director, Business Intelligence requires an in-depth understanding ..
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 Responsibilities The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that ..
Description The Care Management Support Assistant 2 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..
Description The Resolution team handles all complaints for Humana, including formal grievances, appeals and inquiries that go to our executives. Our mission is to resolve these complaints quickly, effectively and with ..
Description MUST BE BI-LINGUAL: KOREAN/ENGLISH (written and spoken proficiency)MUST HAVE WA RN LICENSE The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Tampa Florida Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the ..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
Description Do you crave new challenges and solving problems? Working with innovators in the early stages of ideas, products, or platforms? Do you want to influence organization and technical transformation? As ..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
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 ..
