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... is calling a Manager Risk Management South Bay Community (Full-Time/Day Shift) ... are seeking a Manager Risk Management South Bay Community** who will ... day operational leadership for risk..
... Day JobSCHEDULE: Full-timeTitle: Nurse Demand Management I,II, SR (Job Family)u00a0nLocation: KY, ... an extraordinary impact.u00a0nThe Nurse Demand Management SR is responsible for telephone ... to assist caller in making..
... collection tasks relating to general healthcare guidelines to collect amounts owed ... related) as well as other healthcare financial accounting documentation or records. ... level as defined by Senior..
Description The Health Information Management Professional ensures data integrity for ... claims errors. The Health Information Management Professional work assignments are varied ... action. Responsibilities The Health Information Management Professional..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... and stay healthy! The Utilization Management Nurse 2..
Description The Care Management Support Assistant contributes to administration ... contributes to administration of care management. Provides non-clinical support to the ... administration support experience in the healthcare industry Familiarity..
Population Management Support Coordinator (Bilingual Spanish)','1178686','Jun 9, ... and in collaboration with other healthcare professionals assist patients in identifying ... goals associated with health care management and assure that patient..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist ... requests. The Oncology Staff Utilization Management Pharmacist work assignments involve moderately ... Responsibilities The Oncology Staff Utilization Management..
Job Information Humana Enterprise Risk Management Lead-US-Remote in Torrance California Description ... Description The Sales Conduct Risk Management Lead a critical member of ... of Humana's Third Party Risk Management..
... evaluate options to facilitate appropriate healthcare services/benefits for members Gathers clinical ... to promote quality effectiveness of Healthcare Services and benefit utilization Consults ... and administration of the utilization/benefit..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... Vice President, Home Care Product..
... with assignments as directed by management Ability to be flexible with ... required Nice to Have Prior healthcare experience on Centricity GE system ... medial group performing collection activities,..
... and possible participation in care management. The clinical scenarios predominantly arise ... health, or disease or care management. Medical Directors support Humana values, ... in teams focusing on quality..
Description The Care Management Support Assistant 2 contributes to ... contributes to administration of Care Management. Provides non-clinical support to the ... for well-being Responsibilities The Care Management Support Assistant..
Description The Social Services Care Manager, 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 facilitate interaction ..
Description The Care Management Support Assistant provides non-clinical support ... wellbeing of members. The Care Management Support Assistant performs varied activities ... assigned during training. The Care Management Support Assistant..
... Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral ... during the interview. The Utilization Management Behavioral Health Nurse completes medical ... sufficient clinical information. The Utilization..
... direction of the Enhanced Care Management Manager, you will: Act as ... liaison between the Enhanced Care Management (ECM)/Community Supports (CS) Program and ... internal departments on the Case..
