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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 ..
... 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,..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
... 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 Care Coach -Alachua, Dixie, Gilchrist, Lafayette Counties - FL in Gainesville Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain ..
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 ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL ... Alachua Florida Description The Clinical Vendor Management Lead works as clinical ... vendors and organization. The Clinical Vendor Management..
... 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..
Job Information Humana Clinical Vendor Management Lead - Remote, FL ... Gainesville Florida Description The Clinical Vendor Management Lead works as clinical ... vendors and organization. The Clinical Vendor Management..
Job Information Humana Care Coach -Alachua, Dixie, Gilchrist, Lafayette Counties - FL in Trenton 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 - Alachua/Union/Bradford County, FL in Alachua Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..