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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 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 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 Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
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 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 ..
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 ..
Job Information Humana Utilization Management Administration Coordinator - Remote in Indianapolis Indiana Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and ..
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 ..
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 ..
Job Information Humana Grievances and Appeals Representative in Indianapolis Indiana Description Do you enjoy helping those in need? Do you love researching, analyzing medical documents to determine if something was missed? ..
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 Registered Nurse - Remote in Indianapolis Indiana Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..
Job Information Humana Grievances and Appeals Representative 3 - KY, IN, WI, FL or PR** in Indianapolis Indiana Description Do you enjoy helping those in need? Do you love researching, analyzing ..
Job Information Humana Manager, Utilization Management RN - Remote in Indianapolis Indiana Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..