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... and programs for Humana's Care Delivery Organization supporting Partners in Primary ... of Marketing for the Care Delivery Organizations and work closely with ... or other events Experience in..
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... that happen. Responsibilities The Case Manager/Care Coach will work in clinic ... care. Job Functions: The Case Manager/Care Coach will work the following: ... vendors to ensure the member's..
... section 4. Responsibilities The UM Manager will lead a team of ... clinical necessity reviews in the delivery of care to a specific ... when approving all TPs, ABA..
Job Information Humana Medicaid Associate Director, Compliance Nursing in San Antonio Texas Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..
Description Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. Consumers expect more personalized and holistic experiences from their health partners. Humana's Enterprise Clinical Operating ..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, and progressive approaches ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary...
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... schedules and goals. Responsibilities The Manager, Care Management oversees..
... Humana is a Fortune 60 healthcare company with a history of ... developing a robust integrated care delivery model that integrates insurance with ... top place to work in..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..
Description The Transplant Care Manager, Telephonic Nurse 2 , in ... of members. The Transplant Care Manager, Telephonic Nurse 2 work assignments ... home anywhere The Transplant Care Manager, Telephonic..
... care, and/or requested site of service should be authorized. All work ... inpatient, post-acute care environments, outpatient service requests, ER review, pharmacy review ... whether services provided by other..
Description The Senior Product Manager - Fully Insured supports strategy ... Fully Insured supports strategy development, delivery, and management of the 100 ... business. Responsibilities The Senior Product Manager supports..
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 ..
Job Information Humana RN Case Manager / Care Coach - San ... team that focuses on excellent service to others. Be a part ... patient experience leveraging excellent customer service..
Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. The ... a whole. The Field Care Manager Nurse 2 will work..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
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 ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, and progressive approaches ... Government. Responsibilities The Telephonic..
Description We help doctors do what they do best while engaging patients in their care. At Conviva Care Solutions we recognize the need to simplify population health management for the people ..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... schedules and goals. Responsibilities The Manager, Utilization Management Nursing..
