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Description The RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..
Job Information Humana Care Manager, Telephonic Nurse 2-Remote (Eastern Standard Time) in Charleston West Virginia Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs ..
Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..
Endocrinologist sought for a hospital employed practice opportunity in southern Ohio, along the Ohio River. The hospital has a service population of 120,000. The successful candidate will join a hospital-based, multi-specialty ..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Charleston West Virginia Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives ..
Job Information Centerwell Registered Nurse Home Health Full Time in Charleston West Virginia As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing visits ..
The scenic, awesome, bucolic Virginia Highlands are calling you! This highly regarded, federally funded system of clinics serving the beautiful Virginia Highlands and Clinch Valley Regions of the Commonwealth has an ..
Job Information Centerwell RN On-Call 7/On in Charleston West Virginia As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing visits for home health ..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC state required in Charleston West Virginia Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..
Job Information Humana Manager, Fraud and Waste-Remote US in Charleston West Virginia Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
Job Information Humana Home Health Registered Nurse in South Charleston West Virginia Description Responsibilities As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Job Information Humana Strategy Advancement Lead - Humana at Home Care Management Team- WAH Nationwide in Charleston West Virginia Description About Humana Care Management: Are you passionate about the influencing strategy ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
CUSTOMER SERVICE MANAGER/HUMAN RESOURCES COORDINATOR Job Locations US-WV-CHARLESTON Requisition ID 2022-58081 Line of Business : Name All Ways Caring HomeCare Our Company All Ways Caring HomeCare Overview Operations Management focuses on ..
... reducing waste and overuse of healthcare services, while encouraging high value ... Trend (CAT) team needs your healthcare, analytic, and research acumen to ... have the opportunity to support..
... health care trade association, a consulting/lobbying firm engaged in health policy, ... 5 or more years of healthcare policy experience including a track ... research, and resource development supporting..
Join the gold standard in concierge aesthetics! If you have a passion for helping others feel confident and are interested in supplementing your income, this is the role for you! The ..
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 and ..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Charleston West Virginia Description Job Description Summary The Manager, Care Management leads teams of social work and social service professionals responsible ..
