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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 ..
Job Information Humana Regional Manager, Clinic Administration in Miami Florida ... Miami Florida Description The Regional Manager, Clinic/Center Administration plans and directs ... a clinical setting. The Regional Manager, Clinic/Center..
Description EliteHealth is committed to bringing high quality healthcare in the Florida Market and is proud to be a part of the largest Senior Primary Care Organization in the country. We ..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... of action. Responsibilities The Care Manager, Telephonic Nurse..
Description The Field Care Manager Nurse 2 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 ..
Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. Responsibilities ... The Care Coach / Care Manager Nurse assesses and evaluates..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
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..
... Humana Telephonic Behavioral Health Care Manager in Miami Florida Description The ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..
Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. The ... a whole. The Field Care Manager Nurse 2 assesses and..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
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., ..