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Description The Care Management Support Assistant 3 contributes to administration of ... members. The Care Management Support Assistant 3 performs advanced administrative/operational/customer support ... Responsibilities The Care Management Support Assistant..
Description The Care Management Support Assistant 1 contributes to administration of ... members. The Care Management Support Assistant 1 performs basic administrative/clerical/operational/customer support/computational ... Responsibilities The Care Management Support Assistant..
Description Responsibilities The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism ..
Job Information Humana Bilingual Quality Auditor in Lancaster South Carolina Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..
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 ..
Description The Learning Facilitation Professional 2 (LFP2) plans, coordinates, conducts or facilitates learning experiences for Humana Military associates and/or external audiences. The LFP2 creates an environment that is conducive to learning ..
... clinical competency utilizing evidence based practices/research in all areas of the ... appropriate to members of the healthcare team, ensures completion of assigned ... education/teaching to others in the..
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 ..
Job Information Humana Care Manager, Telephonic Nurse 2-Remote (Eastern Standard Time) in Lancaster South Carolina Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs ..
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 Care Management Support Assistant 2 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 optimal ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Lancaster South Carolina Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ..
Cardiovascular Invasive Laboratory Specialist IV AdventHealth Tampa Location Address: 3100 East Fletcher Avenue Tampa, Florida 33613 Top Reasons to Work at AdventHealth Tampa Sign on Bonus up to $15,000 Florida Hospital ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description Humana is seeking a Senior Talent Sourcer that will source candidates for our Primary Care Organization and Clinical Operations Recruiting team. The Senior Sourcing Recruiter's responsibilities include using various channels ..
... implementation, management and oversight of research studies including the education of ... studies including the education of research staff, healthcare team member, participants and their ... patient eligibility for..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..
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 facilitate ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
... honor of working with dedicated healthcare professionals that make a positive ... impact in aiding those needing healthcare services across the U.S. every ... our focus in assisting remarkable..
