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Description The Lead Medical Director relies on medical background and reviews health claims. ... reviews health claims. The Lead Medical Director requires a solid understanding ... across department(s). Responsibilities The..
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Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... variable factors. Responsibilities Job Title:..
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 Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The RN Care Manager, Telephonic Nurse..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... quality and clinical compliance, and case management. Serve as a Humana ... necessary record components and requests medical records...
Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... self-care to enhance quality of medical..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Description The Large Group Medical Underwriter computes rates for both ... Responsibilities As a Large Group Medical Underwriter you will make the ... the product. The Large Group Medical Underwriter..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... services, monitors and evaluates the case management plan against the member's ... experiences in health care and/or case management. Intermediate to advanced computer ... information applications/software programs including electronic..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... Humana is seeking a Care Manager, Telephonic Behavioral..
... license' 2 years experience in medical case management or care coordination Comprehensive ... experiences Previous experience with electronic case note documentation and experienced with ... Preferred Qualifications Bi-Lingual (English/Spanish)..
