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Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ..
Job Information Humana Associate Director Utilization Management in Tampa Florida Description Come join our team. We are looking for an Associate Director, Utilization Management to utilize clinical nursing skills to support ..
Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
Genex Service LLC Care Coordinator US-FL-Tampa Job ID: 22-13315 Type: Regular Full-Time # of Openings: 1 Category: Customer Service & Support Mitchell International Overview The Enlyte Family of Businesses Mitchell | ..
Description Job Description Summary The RVP Health Services relies on medical background to create and oversee clinical strategy for the state of Florida. The RVP Health Services requires an in-depth understanding ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description Are you passionate about helping people and skilled at networking and coordination? Are you familiar with social determinants of health and community services that help to fulfill basic needs? We ..
... Tampa Florida Description The Director, Network Development, Long Term Care oversees ... provider services, provider engagement and network development, and maintenance of Florida ... of Florida LTC plan's provider..
Description The Provider Contracting Administration Coordinator 2 supports the administration of ... function. The Provider Contracting Administration Coordinator 2 performs varied activities and ... Responsibilities The Provider Contracting Administration Coordinator..
Job ID 21000M3RAvailable Openings 1DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well as your own. Connect with ..
Job Information Humana Medical Director of Long Term Care, Florida in Tampa Florida Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal member outcomes, ..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Tampa Florida Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of the ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
... for assuring that market area network plans are executed and desired ... are executed and desired government network goals are achieved (i.e. access ... building, maintaining, and analyzing/optimizing a..
... 40 market leader in integrated healthcare whose dream is to help ... such as Risk Management, Quality, Network, Member & Provider Services, Clinical, ... Provides strategic leadership of provider..
Job ID 21000MC6Available Openings 1Position Specific Information ***This clinic will manager between 50-125 patients***PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance ..
Job ID 21000GFCAvailable Openings 1PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior ..
