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Description The Manager, 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 Manager, Pre-Authorization ..
Description The Manager, Clinic/Center Administration plans and directs ... in a clinical setting. The Manager, Clinic/Center Administration works within specific ... schedules and goals. Responsibilities The Manager, Clinic/Center Administration helps..
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 Field Care Manager Women's Health Nurse 2 - ... Florida Description The Field Care Manager Nurse 2 assesses and evaluates ... of members. The Field Care Manager..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Summary Responsible for the oversight and management of coding and documentation auditing activities (for professional & facility services), policies and procedures, risk assessments, and development of written guidance to disseminate ..
Description The Manager, Risk Adjustment oversees coding educators ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific ... schedules and goals. Responsibilities The Manager, Risk Adjustment oversees..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Boca Raton Florida Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Description Mission: Within the Innovation and Development department, the apllication specialists team of around 6 people supports the IBA project team on customer acceptance, training and commissioning of IBA Proton ..
... is a full time Territory Manager role that will support our ... Term disability, Flexible Spending for Healthcare, Dependent Care & Commuter ExpensesPURPOSE ... and strategizes with the Azura..
... nomination of candidates. The Program Manager for Prestigious Awards and Fellowships ... and be responsible for the operations of the PAF function. This ... skills and accomplishments. The Program..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Miami Florida Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Humana Staff Mail Operations Pharmacist (VSP/PT) in Miramar Florida ... Florida Description The Staff Mail Operations Bilingual Pharmacist is responsible for ... to patients. The Staff Mail Operations..
The Department of Public Health Sciences has an exciting opportunity for a Full Time Sr. Manager, Sponsored Programs. The Sr. Manager, Sponsored Programs directs and oversees all administrative and financial aspects ..
... like this one Director of Operations ABOUT FIU Florida International University ... is seeking a Director of Operations to join the Health Care ... Duties Include: Leads the overall..
The Department of Medicine has an exciting opportunity for a Full-Time Practice Manager to work on the UHealth Campus. The Practice Manager provides administrative direction and coordination to the formulation, interpretation, ..
Description The Field Care Manager, Behavioral Health 2 assesses and ... of members. The Field Care Manager, Behavioral Health 2 work assignments ... action. Responsibilities The Field Care Manager, Behavioral..
... Customer Service Rep - Facilities Operations Control serves as a liaison ... occupants and guarantee the smooth operations of all facility functions and ... of all facility functions and..
