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Description The Senior EAP Onsite Counselor provides ongoing and crisis intervention focused on the emotional, social, vocational, educational, health-related, developmental, and organizational concerns that impact daily lives. The Senior Counselor work ..
Description The Field Care Manager Nurse 2 assesses and evaluates ... of members. The Field Care Manager Nurse 2 work assignments are ... appropriate courses of action. Responsibilities Healthcare isn't..
Description Are you passionate about contributing to the well-being of the Medicare population? Would you like to provide support to an active and fast-paced team of sales professionals? If so, the ..
... effort among members of a project team. Assures provision of facility ... Confer routinely with Technical Program Manager and Technical Operations Manager to ensure preventative maintenance program ... related..
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 Associate Director, Full Stack Engineering Performs software engineering activities in all layers of the stack, from setting up the database to programming in the back-end and the appearance at ..
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 ..
Job Description Mission: Within the Innovation and Development department, the apllication specialists team of around 6 people supports the IBA project team on customer acceptance, training and commissioning of IBA Proton ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Jacksonville 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 leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Jacksonville Florida Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
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,..
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 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 Kindred at Home Home Health Admissions RN in Orange Park Florida The Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by physician, ..
Description The Field Care Manager Nurse 2 assesses and evaluates ... of members. The Field Care Manager Nurse 2 work assignments are ... of action. Responsibilities Job Description Healthcare isn't..
Job Information Humana Sales Support Representative 3- Jacksonville, FL (in-office) in Jacksonville Florida Description Are you passionate about contributing to the well-being of the Medicare population? Would you like to provide ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
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 Member Outreach Specialist in Jacksonville Florida 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 ..
