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Description MUST BE BILINGUAL: CHINESE/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 ..
... Representative 2) - English OR Bilingual English and Spanish Fluent Positions ... medical, dental & vision benefits, case management, compliance requirements and more. ... performed for English and or..
Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
Description The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further ..
Job Information Humana Quality (non-calls) Professional 2/ Quality Audit/G&A (FULLY BILINGUAL English/Spanish) Remote, anywhere with Easter Time Zone in Bridgeport Connecticut Description The Quality (Non-Calls) Professional 2 ensures that products meet ..
... Rep 2 - English OR Bilingual English and Spanish in Bridgeport ... medical, dental & vision benefits, case management, compliance requirements and more. ... performed for English and or..
... 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern ... and enrollment data. Must be bilingual English/Spanish with ability to speak ... limitations or assistance. Analyze Grievance/Appeals..
Job Information Humana Bilingual Quality Auditor in Bridgeport Connecticut ... in Bridgeport Connecticut Description The Bilingual Quality Auditor/ Professional 2 ensures ... finish to ensure accuracy. Responsibilities Bilingual Quality Auditor/..
... Job Shift Various Shift Hours Bilingual Case Manager, AIC Highly motivated and ... AIC Highly motivated and professional Bilingual Case Manager sought for our Bridgeport ... now in the..
Description The Supervisor, 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 Supervisor, Pre-Authorization ..
... Description Highly motivated and professional Case Manager sought for our Torrington ... now in the community. The Case Manager works with the client ... meet many parole requirements. The..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Bridgeport Connecticut Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
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 Quality (Non-Calls) Professional 2 ensures that products meet certain standards of quality. The Quality (Non-Calls) Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..
Job Location Bridgeport AIC (CT) - Bridgeport, CT Position Type Full Time Education Level Bachelors Degree Travel Percentage License Required Job Shift Various Shift Hours Job Description Community Solutions Inc is ..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License ... titled Care Managers, because our case management services are centered on ... no disciplinary action. Must be bilingual in Spanish..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Bridgeport Connecticut Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
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 ..
