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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 ..
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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, ..
Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
Job Location Albuquerque, NM - 3609 - Albuquerque, NM Position Type Part Time Salary Range $17.00 - $18.00 Hourly Let what you love be what you do. Become an On-Call Fitness ..
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 ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
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 ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Albuquerque New Mexico Description Humana is looking for an experienced Healthcare Investigator to join its ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
Endocrinology opportunity in southwest New Mexico. Provide clinical care to patients in accordance with regulations to include but not limited to obtaining patient history, ordering labs, diagnostic studies, and arranging referrals. ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Albuquerque New Mexico Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Albuquerque New Mexico Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Location Albuquerque, NM - 3609 - Albuquerque, NM Position Type Full Time Salary Range $36,000.00 - $38,000.00 Salary/year Description There's a spot on our team waiting for you! Become a ..
POSITION SUMMARY:Working under the direction of the Director of Nursing or RN designee, the LPN Nurse Practice Educator functions as a practitioner, consultant, educator and facilitator for all nursing staff focusing ..
