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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Tampa Florida Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Field Marketing, Territory Manager to join the Marketing team for the Orlando/Tampa, Florida territory . We are looking ..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
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 Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions ..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..
Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..
Job Information Centerwell RN Case Manager, Home Health Full Time in ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical Manager...
Job Location St. Petersburg - Headquarters - St. Petersburg, FL Position Type Full Time Salary Range $54,000.00 - $56,000.00 Salary/year There's a spot on our team waiting for you! Become a ..
Job Information Humana Technical Product Manager - Remote in Tampa Florida Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases of ..
Description Humana Healthy Horizons is seeking a Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, ..
... Information Centerwell Registered Nurse Case Manager Full Time in Bradenton Florida ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..
Description The Manager, Software Engineering codes software applications based on business requirements. The Manager, Software Engineering works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; ..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH ... Tampa Florida Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Job Information Centerwell RN Clinical Manager in St. Petersburg Florida The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes ..
Description The Manager, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Manager, Provider Contracting works within specific ..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
