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Job Information Humana Clinical Vendor Management Lead - Remote, FL in ... Jacksonville Florida Description The Clinical Vendor Management Lead works as clinical liaison ... vendors and organization. The Clinical..
Job Information Humana Care Manager, Telephonic Nurse 2/ Adult and Pediatric Sickle Cell Disease - NORTH FL Counties in Jacksonville Florida Description The Care Manager, Telephonic Nurse 2 , in a ..
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Job Information Humana OB Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish ... Jacksonville Florida Description The Care Management Support Assistant 2 contributes to ... contributes to administration of care management...
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... we succeed! The Manager, Utilization Management Nursing..
... field Prior experience with corporate management over direct reports Prior health ... verbal Strong organizational and project management skills For this job, associates ... done through an approved Humana..
... monitoring and evaluating the case management plan against the member's personal ... done through an approved Humana vendor, and unvaccinated associates should follow ... their home. We are a..
... concepts to test Participates in vendor contract planning and implementing new ... or more years of product management experience and/or clinical implementation Leadership ... and Outlook Excellent organizational, time..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Job Information Humana Primary Care Physician, National Value Based Care Clinic in Jacksonville Florida Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary ..
... oversight of the end-to-end encounter management workflow for Humana Healthy Horizons ... and solutions to team members, management, and external entities is crucial ... and submission issues; communicate with..
... Humana RN, Associate Director, Utilization Management (Long Term Care) in Jacksonville ... RN, Associate Director of Utilization Management for Long Term Care who ... RN, Associate Director of Utilization..
... seeking an Associate Director, Care Management leads teams of nurses and ... health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of .....
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Jacksonville Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
... monitoring and evaluating the case management plan against the member's personal ... or long term care case management experience Experience with electronic case ... done through an approved Humana..
... seeking an Associate Director, Care Management who will lead teams of ... health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of .....
Job Information Humana Care management Telephonic Social Work- Remote Florida in Jacksonville Florida Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' needs and ..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
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..
Job Information Humana Care Manager, Onsite / Telephonic Nurse 2/ Adult and Pediatric Sickle Cell Disease - NORTH FL Counties in Jacksonville Florida Description The Care Manager, Telephonic Nurse 2 , ..
... health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works ... Humana systems and capabilities. Program Management experience PMP/PMI certification. Independent with ... and value..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
