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Description Responsibilities The Care Management Support Assistant performs non-clinical support for care management by performing ... care management services. Provide non-clinical support to the assessment and evaluation ... of members...
Description The Care Management Support Assistant 2 contributes to administration ... of care management. Provides non-clinical support to the assessment and evaluation ... of members. The Care Management Support Assistant..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
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 for Humana's Kentucky Medicaid Plan. The Utilization ..
... facility The Supervisor, Care Management Support will lead a team of ... a team of 16-22 care support professionals and contributes to administration ... of care management. Provides non-clinical..
... and network administration in a healthcare company or healthcare system Medicaid behavioral health contracting ... groups, ancillary providers and hospital systems. Proficiency in analyzing, understanding and ... well when..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
... Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving ... Program. Responsibilities The Care Management Support Professional contributes to administration of ... department of YHA. Provides non-clinical..
... facilities, or community groups to support regional market priorities, which may ... or care management. Medical Directors support Humana values, and Humana's Bold ... whether services provided by other..
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 ..
Description The Clinical Recruiter recruits and interviews prospective employees for hourly and salaried positions for our Care Delivery Organization. Humana is seeking a recruiter who is a self-starter, able to work ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will ... focus on administrative and customer support assignments. Typical work involves processing ... provider/beneficiary inquiries. The Care Management Support..
... to telephonically assess, evaluate, and support members who are challenged by ... Our goal is to provide support for both mind and body ... take charge of their own..
... activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works ... into prepayment status. 30% Update systems with corrections to provider records ... Qualifications 2 plus years of..
... how new information technologies can support re-engineering business processes. May specialize ... management and measurement, and/or process-driven systems requirements. Understands department, segment, and ... will guide members through their..
Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platforms/applications. The Associate Director, Problem, ..
Job Information Humana Clinical Recruiter 2 - VSP in Louisville Kentucky Description The Clinical Recruiter 2 interviews prospective employees for hourly and salaried positions. Assists with Pharmacy recruiting from entry level ..
... is seeking a Care Management Support Assistant. This professional contributes to ... home care by providing administrative support in new and existing Home ... seniors. Responsibilities The Care Management..
Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
