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Description The Behavioral Health Care Coordinator, in a telephonic environment, assesses ... members. The Behavioral Health Care Coordinator’s work assignments are varied and ... Description The Behavioral Health Care Coordinator..
... is to provide care management program support resources to physicians, physician ... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country...
... complexity. Responsibilities The Care Coach Coordinator employs a variety of strategies, ... some interpretation. The Care Coach Coordinator assesses and evaluates member's needs ... Required Qualifications The Care Coach..
... correspondence. KEY ACCOUNTABILITIES 30% Manages Program Integrity team with responsibility for ... proactive case referrals to the Program Integrity Sr. Fraud and Waste ... and ensures compliance with applicable..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
... Glen Allen Virginia Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
... to administer the TRICARE health program for military members, retirees and ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... will serve as the primary..
... work. SM The Clinical Administrative Coordinator is responsible for the completion ... a full and comprehensive benefit program, performance rewards, and a management ... Reimbursement Employee Discounts Employee Assistance..
Job Information Humana Quality Improvement Coordinator in Richmond Virginia Description The ... Virginia Description The Quality Improvement Coordinator 3 assists in administering and ... processes for the Ohio Medicaid program...
Job Information Humana Senior Technology Implementation Professional (Remote-Nationwide) in Glen Allen Virginia Description The Senior Technology Implementation Professional delivers new technological solutions to meet business needs within a specified scope while ..
Description The Behavioral Health Care Coordinator, 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 facilitate interaction ..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Glen Allen Virginia Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, ..
Job Description Position is 100% remote in EST zone. Hours: 8am - 5pm EST Holidays: 1 major/1 minor required annually Utilizes clinical experience and skills in a collaborative process to assess, ..
Job Information Humana Quality Improvement Coordinator in Glen Allen Virginia Description ... Virginia Description The Quality Improvement Coordinator 3 assists in administering and ... processes for the Ohio Medicaid program...
... Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment ... civilian providers for the ACD program. The ACD Referral Coordinator performs varied activities with a ... semi-routine..
... Management Support Professional- Prescription Assistance Program-CenterWell-Remote in Glen Allen Virginia Description ... complexity. Responsibilities The Prescription Assistance Program Field Care Manager works specifically ... medications from pharmaceutical companies. This..
... List One of the largest healthcare systems in the U.S. Ranked ... coordinate efficient, effective, and quality healthcare. Communicate effectively and maintains therapeutic ... Degree from a professional nursing..
Job Information Humana Supervisor, Credentialing in Glen Allen Virginia Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising activities associated with certification and recertification of providers in the TRICARE East ..
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... a Bachelor's degree in Business, Healthcare, or related field and/or 8 ... 5 years' experience in the..
... commitment to the Quality Enhancement Program (QEP) and CQI Activities, including ... the Clinical Manager and Education Coordinator in driving FMS quality standards ... Clearance Monitoring (OLC), Adequacy Monitoring..
Description The UM Administration Coordinator contributes to administration of utilization ... utilization management. The UM Administration Coordinator performs varied activities and moderately ... semi-routine assignments. The UM Administration Coordinator is..
