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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 RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL ... Myers Florida Description The Clinical Vendor Management Lead works as clinical ... vendors and organization. The Clinical Vendor Management..
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 Coach 1 - Lee/Charlotte/Sarasota/De Soto County, FL in Fort Myers Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain ..
Job Information Humana Care Coach - Charlotte/Sarasota/Collier/DeSoto County, FL in Port Charlotte Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..
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 ..
... Administration support experience in a healthcare industry Familiarity with care and ... done through an approved Humana vendor, and unvaccinated associates should follow ... their home. We are a..
Job Information Humana Clinical Vendor Management Lead - Remote, FL ... Charlotte Florida Description The Clinical Vendor Management Lead works as clinical ... vendors and organization. The Clinical Vendor Management..
Job Information Humana Care Coach - Charlotte/Sarasota/Collier/DeSoto County, FL in Arcadia Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state ..
... procedural and Florida Agency for Healthcare Administration (ACHA). Ensure adoption and ... compliance with Florida Agency for Healthcare Administration (ACHA), NCQA, Department of ... Bachelor's Degree in health services,..
Job Information Humana Care Coach 1 - Lee/Charlotte/Sarasota/De Soto County, FL in Port Charlotte Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain ..
Job Information Humana Care Coach 1 - Manatee/ Charlotte/Sarasota/De Soto County, FL in Punta Gorda Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or ..
Job Information Humana Care Coach 1 - Lee/Charlotte/Sarasota/De Soto County, FL in Punta Gorda Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain ..
... Qualifications Bachelor's degree in a healthcare field or equivalent experience. 5 ... years of experience in managed healthcare analysis, preferably as a Business ... done through an approved Humana..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..