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Description At Conviva Care Solutions, we want to inspire people to live life their best healthy life. Conviva Care Solutions is a management services organization representing nearly 300 physician practices, 800 ..
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 Information Humana Telephonic Behavioral Health Care Manager in Tampa Florida Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or ..
Description The Care Coach 1 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 for the ..
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 Community Health Worker in Tampa Florida Description The Community Health Worker contributes to the administration of Care Management and Utilization Management. The individual in this role provides non-clinical ..
Job Information Humana Bilingual RN Care Manager- Conviva - Plant City, FL in Plant City Florida Description At Conviva Care Solutions, we want to inspire people to live life their best ..
Description The Clinical Programs Pharmacy Technician Representative 2 integrates programs developed to improve overall health outcomes with a focus on prescription drugs. The Clinical Programs Pharmacy Technician Representative 2 performs varied ..
Description The Bilingual Spanish/English Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional ..
Description Humana's Neighborhood Center in Zephyrhills, Florida is looking for an Activity Coordinator who is knowledgeable and passionate about our senior community to join our team. The Neighborhood Center is a ..
Job Information Humana Conviva - Bilingual Physician - Plant City FL in Plant City Florida Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused ..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..
Description The Bilingual Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The Bilingual Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties ..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
Description The Supervisor, 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 Supervisor, Pre-Authorization ..
A partner of the Optum network, WellMed Medical Group, is seeking a full-time internal medicine or family medicine physician to join our Brandon clinic in Brandon, FL. At Optum, we are ..
Job Information Humana Bilingual Quality Auditor in Tampa Florida Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
Job Information Humana Care Coach - Bilingual Preferred - Tampa / Hillsborough County in Plant City Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve ..
Job Information Humana OB Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish or Creole) Remote FL in Lutz Florida Description The Care Management Support Assistant 2 contributes to administration of care management. ..
Job Information Humana Care Coach 1 - East & West Pasco County - FL in Zephyrhills Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve ..