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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 Care Coach - Marion, Citrus, Levy Counties - FL in Inverness Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Inverness Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
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 ..
Job Information Humana Bilingual English/Spanish Care Coach 1 - West Pasco County - FL in Land O Lakes Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements ..
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 ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Job Information Humana Care Coach - Marion/Citrus County - FL in Inverness Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..
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 ..
Job Information Humana Bilingual English/Spanish Care Coach 1 - West Pasco/West Tampa - FL in Land O Lakes Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements ..
Job Information Humana Care Coach 1 - Hernando/Sumter County, FL in Brooksville Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Brooksville Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
Job Information Humana Care Coach 1 - Brooksville (Hernando County) - Florida in Brooksville Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain ..
... 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 - West Pasco/West Tampa - FL - Bilingual Preferred in Land O Lakes Florida Description The Care Coach 1 assesses and evaluates member's needs and ..
Job Information Humana OB Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish or Creole) Remote FL in Brooksville Florida Description The Care Management Support Assistant 2 contributes to administration of care management. ..