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Description The Field Care Manager 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 hinder ..
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 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 ..
... Rep 2 - English OR Bilingual English and Spanish in Miami ... dental & vision benefits, case management, compliance requirements and more. Excellent ... performed for English and or..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Job Information Humana Grievances & Appeals Representative 4 (Bilingual English/Spanish. Appeals and Leadership exp. a MUST) Miami, FL in Miami Florida Description The Grievances & Appeals Representative 4 manages client medical ..
... Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... setting Experience as a utilization management Auditor Knowledge with LCD and ... assurance audits Experience in utilization..
16,026 Job Information Deloitte Bilingual Contact Center Agent - Government ... Public Sector in Miami Florida Bilingual Call Center Agent - Government ... questions, inquires, and provide information. Bilingual in..
Job Information Humana Bilingual Medical Center Receptionist in Miami Florida Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living ..
Description The Manager, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request is ..
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 ..
... Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... setting Experience as a utilization management Auditor Experience in utilization management Excellent computer skills and ability .....
Job Information Humana Bilingual Medical Center Receptionist in North Miami Beach Florida Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's ..
Description The Activity Coordination Assistant 1 ensures the day-to-day operations of the Wellness Center meets participant needs. The Activity Coordination Assistant 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine ..
Job Information Humana Bilingual Medical Center Receptionist in Hialeah Florida Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living ..