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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Description The Care Management Support Assistant 2 (CMSA2) contributes to administration ... members. The Care Management Support Assistant 2 performs varied activities and ... varied activities and moderately complex administrative/operational/customer..
Description The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further ..
Description The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contact Representative 2 (Bilingual-Spanish) positions that will have the pleasure of taking inbound calls from our members ..
Description Humana is continuing to grow nationwide! We have several new Bilingual Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicaid Members and provide ..
Job Information Humana Utilization Management Registered Nurse - Remote in Green Bay Wisconsin Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral ..
Description The Grievances & Appeals Representative 4 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Description The Care Management Support Assistant 2 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Job Information Humana Utilization Management Administration Coordinator - Remote in Green Bay Wisconsin Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities ..
Job Information Humana Grievances and Appeals Representative 3 - KY, WI or PR in Green Bay Wisconsin Description Do you enjoy helping those in need? Do you love researching, analyzing medical ..
Job Information Humana Manager, Utilization Management RN - Remote in Green Bay Wisconsin Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
Description The Care Management Support Assistant contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Medicaid Members ..
