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... every day. EEO/AA/Disability/Veteran Summary: Case Manager has the primary accountability for ... coordinating care efforts, the Case Manager works with payor sources, patients ... services. 2. With the Nurse..
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 ..
... the direction of the Pharmacy Manager or pharmacist, prepares, and files ... equipment. In collaboration with Pharmacy Manager, responsible for recordkeeping and ensuring ... asset protection techniques. Supports Pharmacy..
Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
The MLTC Clinical Manager provides supervision and management for assigned multidisciplinary teams that are responsible for implementing the Managed Long Term Care (MLTC) Program. The Clinical Manager supervises nursing, social work, ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions ..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
Job Information Humana Technical Product Manager - Remote in Bridgeport Connecticut Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases of ..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide ... Description Job Description Summary The Manager, Care Management leads teams of ... multi-disciplinary care management team. The Manager, Care Management..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..
Description The Manager, Software Engineering codes software applications based on business requirements. The Manager, Software Engineering works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; ..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Bridgeport Connecticut Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. This ..
Job Information Kindred at Home RN Clinical Manager in Hauppauge New York The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, ..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH ... Bridgeport Connecticut Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Lead Product Manager - Group Dental, Vision and Life in Bridgeport Connecticut Description The Lead Product Manager Leads all phases of the product life cycle for Vision and ..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Bridgeport Connecticut Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Bridgeport Connecticut Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
The CMO Compliance Manager will have primary responsibility for a number of critical programs in the compliance office of the department of Contracting and Corporate Affairs. The manager will be responsible ..
Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..
