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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 ..
Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. As ... a whole. As a senior-focused healthcare provider, and subsidiary of..
Description The Record Retrieval Specialist Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Overland Park Kansas Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments ..
Job Information Humana CenterWell Kansas City - Physician in Kansas City Missouri Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers ..
Job Information Humana Physician - CenterWell - Kansas City in Kansas City Missouri Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... School Diploma or equivalent Hands-on healthcare experience in a clinical setting ... Preferred Qualifications Bachelor's Degree in Healthcare or Business Administration Knowledge of ... Professional State Certifications related to..
... is looking for an experienced Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... areas Bachelor's degree or significant..
Job Information Humana Physician - CenterWell - Olathe, KS in Olathe Kansas Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... Qualifications Bachelor's degree or significant..
**_Sunrise Senior Living was again named as one of the Best Workplaces in Aging Services by Fortune and certified as a Great Place to Work by Activated Insights. This is the ..
Description The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding ..
Job Information Humana Care Management Supervisor (Prescription Assistance Program)- CenterWell-Remote in Overland Park Kansas Description The Supervisor, Care Management leads teams of health professionals responsible for assessing and evaluating patient's needs ..
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 ..
... Certified Diabetes Care and Education Specialist-Remote-US in Overland Park Kansas Description ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
Job Information Humana FP&A Lead, Medicaid Market in Overland Park Kansas Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Overland Park Kansas Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..
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 ..
Job Description The Mobile Crisis Response Team (MCRT) is looking for a Mental Health Clinician to serve as the State Hospital Liaison and to provide mobile mental health crisis services during ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Overland Park Kansas Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
