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Description The Manager, 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 Manager, Pre-Authorization ..
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Description The Manager, Clinic/Center Administration plans and directs the work of professional and support personnel who provide outpatient care to patients in a clinical setting. The Manager, Clinic/Center Administration works within ..
... are looking for an IT Project Manager- level 1 to join our ... be doing? Assemble and lead project team, identify appropriate resources needed, ... to ensure timely completion..
Description The Field Care Manager, Behavioral Health 2 assesses and ... of members. The Field Care Manager, Behavioral Health 2 work assignments ... Responsibilities The Medicaid Field Care Manager Behavioral..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., ..
Job ID 21000HRNAvailable Openings 2PURPOSE AND SCOPE: The Apheresis RN spends 80% or more of their time providing Apheresis treatments providing direct patient care in accordance to company policies and procedures ..
Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Job Information Humana Manager of Sales Administration - Palm Beach, FL in Delray Beach Florida Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking ..
Description The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate ..
Description The Manager, Consumer Engagement oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and for product where warranted. The Manager, Consumer Engagement works within specific ..
Description The Provider Contracting Manager initiates, negotiates, and executes physician, ... health insurance. The Provider Contracting Manager works on problems of diverse ... substantial. Responsibilities The Provider Contracting Manager communicates..
