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Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Charleston West Virginia Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Description The RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC state required in Charleston West Virginia Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates ..
Description The Care Manager, Telephonic Behavioral Health 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 ..
Job Information Humana Care Manager, Telephonic Nurse 2-Remote (Eastern Standard Time) in Charleston West Virginia Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Job Information Humana Strategy Advancement Lead - Humana at Home Care Management Team- WAH Nationwide in Charleston West Virginia Description About Humana Care Management: Are you passionate about the influencing strategy ..
Job Information Humana Manager, Fraud and Waste-Remote US in Charleston West Virginia Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
... and overall strategic positioning. This associate will also collaborate closely with ... health care trade association, a consulting/lobbying firm engaged in health policy, ... 5 or more years of..
Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..
... experience outcomes (member, provider and associate) Builds collaborative business partnerships which ... the ideal member, provider and associate experience, and are enabled through ... 8 or more years of..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
... reducing waste and overuse of healthcare services, while encouraging high value ... Trend (CAT) team needs your healthcare, analytic, and research acumen to ... have the opportunity to support..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
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 ..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Charleston West Virginia Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives ..
Job Information Centerwell Registered Nurse Home Health Full Time in Charleston West Virginia As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing visits ..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Charleston West Virginia Description Job Description Summary The Manager, Care Management leads teams of social work and social service professionals responsible ..
CUSTOMER SERVICE MANAGER/HUMAN RESOURCES COORDINATOR Job Locations US-WV-CHARLESTON Requisition ID 2022-58081 Line of Business : Name All Ways Caring HomeCare Our Company All Ways Caring HomeCare Overview Operations Management focuses on ..
Job Information Centerwell RN On-Call 7/On in Charleston West Virginia As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing visits for home health ..
