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Description Responsibilities The Care Management Support Assistant performs non-clinical support ... performs non-clinical support for care management by performing administrative and telephonic ... non-clinical surveys, and offer care management services...
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Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... a Compact state The Utilization Management Behavioral Health..
... 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 Bilingual Production Professional 2 produces of a wide range of print projects for external and internal audiences. The Bilingual Production Professional 2 work assignments are varied and frequently require ..
Job Information Humana Inbound Contact Rep 2 - English OR Bilingual English and Spanish in Louisville Kentucky Description The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, ..
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 ..
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 Care Management Support Assistant 2 (CMSA2) 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 ..
Description The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization Behavioral ..
Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assignments centered ..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
Description Humana is looking for an experienced EAP Counselor that truly enjoys helping those in need within a call center environment. Our EAP Counselor's provide ongoing and crisis intervention counseling focused ..
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 ..
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 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 The Bilingual Sales Support Supervisor works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
