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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 ..
... analytical approach. Responsibilities The Supervisor, (Healthcare Call Center) Inbound Contacts addresses ... supervises a group of typically support and technical associates; coordinates and ... Working experience working in a..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... medical literature, while providing clinical support for internal stakeholders. Utilizes broad ... senior leadership on key metrics Support clinical research integration activities with ... other leaders throughout HPS to..
... facility The Supervisor, Care Management Support will lead a team of ... a team of 16-22 care support professionals and contributes to administration ... of care management. Provides non-clinical..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
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 Description Summary Care Management Support Specialists contribute to the administration ... management. The CMSS provides non-clinical support to the assessment and evaluation ... and wellbeing of members. The..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
... is looking for an experienced Healthcare Investigator to join its industry ... Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts ... areas Bachelor's degree or significant..
Admin / Clerical (0) Advanced Practice Registered Nurses / Physician Assistants (3) Allied Health (0) Executive (48) General Nursing (0) Operations (0) Physicians/Surgeons (4691) Quality/Risk Management (0) Type Contract (3) Fellowship ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
... electronic medical record systems to support departmental goals.Adheres to CMS Guidelines ... work experience with Coding and/or Healthcare**Preferred** Bachelor's degree**EXPERIENCE****Required** 3 years in ... years in HCC Coding and/or..
Posted: 25-Feb-22 Location: Boise, Idaho Salary: Open Categories: General Nursing Internal Number: 51423 St. Lukes Health System is currently seeking a Clinical Nurse Specialist (CNS) for Adult Health Services to join ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
... Certified Diabetes Care and Education Specialist-Remote-US in Meridian Idaho Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
Description Care Management Support Specialists contribute to the administration ... management. The CMSS provides non-clinical support to the assessment and evaluation ... and wellbeing of members. The Support Specialist performs..
Advanced Practice Registered Nurses / Physician Assistants (84) Executive (8) General Nursing (108) Nursing Support (2) Operations (1) Physicians/Surgeons (166) Type Contract (0) Fellowship (1) Full Time (71) Locum Tenens (0) ..
nPosition: OB/GYNnLocation: Caldwell, IDn nMPLT Healthcare is looking for physicians who ... n Idaho License u2013 Requiredn Support Staff: Medical Assistant and Medical ... benefits of working with MPLT Healthcare..
