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Description The Associate Director, Vendor Management works as liaison between vendors and organization. The Associate Director, Vendor Management requires a solid understanding of how organization capabilities interrelate across department(s). Responsibilities The ..
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 ..
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 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 facilitate ..
... needs. These front-line member contact center advocates strive to provide a ... a resolution on each member call, while still upholding our Perfect ... members in a fast-paced inbound..
Description Humana Healthy Horizons in Louisiana is seeking a Crisis Service Liaison to join our growing team. The Crisis Service Liaison will have the primary responsibility of educating providers and those ..
... relationships with physicians, providers and healthcare systems in order to support ... and concerns Coordinates with Provider Call Center Manager to review data, trends ... issues that arise through..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..
Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Job Information Humana RN, Manager, Utilization Management Nursing in Metairie Louisiana Description Humana Healthy Horizons is seeking a RN, Manager, Utilization Management Nursing who will utilize clinical nursing skills to support ..
... Empathy & Time Management Inbound call Occasionally- Auto Dialer (computer makes ... Auto Dialer (computer makes the call, beep and answer phone- Outbound) ... Outbound) or manual list (outbound..
... and eligibility, claims processing, and call center operations. Investigates and settles claims ... customer service experience in a healthcare setting Proficient in Microsoft Office ... Preferred Qualifications Undergraduate Degree..
... Advice Line is an inbound call center that provides Humana members with ... management Previous experience in a call center or comfortable working in a ... or comfortable working..
Description The Care Management Support Assistant contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Apply Now Share this job Send yourself a reminder Alert me to jobs like this one Our Reference Laboratory is one of only 55 AABB accredited Immunohematology Reference Laboratories in the ..
... their related pharmacies Assist the Call Center management team with projects to ... workflow and success of the Call Center Assist Customer Service team with ... Facilities: Gather partial..
Description The Weekend Telephonic Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 ..
Description The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
... Advice Line is an inbound call center that provides Humana members with ... utilize multiple computer systems Previous call center type experience Prior medical knowledge ... degree in business..
