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Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... training and by leader. Utilization Management Nurse 2..
Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes process data to initiate, develop and ..
Description The Supervisor, Care Management Support contributes to administration of ... contributes to administration of care management. Provides non-clinical support to the ... of members. The Supervisor, Care Management Support..
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 The Consumer Engagement Professional 2/Group Medicare Member Engagement Professional oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and for product where warranted. The Consumer ..
Description The Care Management Support Assistant 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 wellness ..
... Care Managers, because our case management services are centered on the ... Previous adult chronic conditions care management. Previous experience in care management. Knowledge of complex care management and..
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 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 The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
Job Information Humana Manager, Specialty Pharmacy Sales in Charleston West Virginia Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route ..
Description The Counselor 2 provides ongoing and crisis intervention focused on the emotional, social, vocational, educational, health-related, developmental, and organizational concerns that impact daily lives. The Counselor 2 work assignments are ..
Job Information Humana Manager, Utilization Management RN - Remote in Charleston ... Virginia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management..
Description The Utilization Management Behavioral Health Nurse 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
Professional, Web Content & French CA Translations (Remote) Date: May 31, 2022 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a commitment ..
... gap and integrate clinical and self-management aspects of diabetes care. The ... quality care. The CDCES promotes self-management to achieve individualized behavioral and ... Education Specialist for our Care..
Job Information Humana Administrative Sales Support/Event Coordinator Representative - Charleston, WV in Charleston West Virginia Description The Administrative Sales Support/Event Coordinator Representative - Charleston, WV provides timely and effective administrative support ..
