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Description The Care Manager, Telephonic Behavioral Health 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 ..
Job Information Humana Inbound Contact Rep 2 ... Rep 2 - English OR Bilingual English and Spanish in Ridgeland ... all platforms for all sensitive information Ability to focus on..
... focus. Ability to communicate general information such as pharmacy; plan medical, ... all platforms for all sensitive information Ability to focus on the ... review in the below additional..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
Description Humana is continuing to grow! We have several new Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicare Members and provide excellent service ..
... Facility to obtain sufficient clinical information for all levels of facility ... agencies and additional community resources Bilingual (English/Spanish); speaking, reading, writing, interpreting ... explaining documents in Spanish Additional..
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 continuing to grow nationwide! We have several new Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicare Members and provide excellent ..
Description The Specialty Retention Executive - Employer Group 2-99 is responsible for growing membership within existing accounts and for directly managing business relationships with client accounts. The Retention Executive - Employer ..
Job Information Humana Claims Research & Resolution ... Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) in Ridgeland ... in Ridgeland Mississippi Description The Bilingual Claims Research and Resolution..
Job Information Humana Social Worker-MSW and licensure ... (see details below under Additional Information) and upon offer will be ... agencies and additional community resources Bilingual English/Spanish. Must be able..
Description The Bilingual Claims Research and Resolution Representative ... Where you Come In The Bilingual Claims Research & Resolution Representative ... it takes to Succeed Fully Bilingual English/Spanish. Must be..
Description The Bilingual Production Professional 2 produces of ... external and internal audiences. The Bilingual Production Professional 2 work assignments ... courses of action. Responsibilities The Bilingual Production Professional works..
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 Wellness Coach 2 supports health promotion and disease prevention and care management services. The Wellness Coach 2 work assignments are varied and frequently require interpretation and independent determination of ..
Description Humana is looking for an experienced Counselor that truly enjoys helping those in need within a call center environment. Our Counselor's provide ongoing and crisis intervention counseling focused on the ..
... (see details below under Additional Information) and upon offer will be ... guidelines, assessment and documentation practice. Bilingual English/Spanish. Must be able to ... limitations or assistance. See Additional..
Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor ..
Description The Inbound Contacts Representative 2 represents Humana by addressing incoming telephone, digital, or written inquiries from Medicare Members. The Inbound Contact Representative 2 strives to provide resolution or path way ..
