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Description MUST BE BILINGUAL: CHINESE/ENGLISH (written and spoken proficiency)MUST HAVE WA RN LICENSE The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Job Information Humana Utilization Management Administration Coordinator - Remote in Dover Delaware Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and ..
Job Information Humana Call Quality Professional 1 in Dover Delaware Description The Call Quality Professional 1 monitors and evaluates the quality of inbound and/or outbound customer service calls, call documentation and ..
Job Information Humana Utilization Management Registered Nurse - Remote in Dover Delaware Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..
Job Information Humana Social Media Representative 3 - Remote in US in Dover Delaware Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social media comments ..
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 Manager, Utilization Management RN - Remote in Dover Delaware Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Dover Delaware Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Dover Delaware Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying ..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Dover Delaware Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
Job Information Humana Social Worker - Telephonic Behavioral Health-SNP- WAH Nationwide in Dover Delaware Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' ..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Dover Delaware Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
Job Information Humana Telephonic Behavioral Health Licensed Social Worker - SNP in Dover Delaware Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' ..
Job Information Humana Bilingual Quality Auditor in Dover Delaware Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
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 The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Job Information Humana Social Worker-MSW and licensure required- Telephonic Behavioral Health-SNP- WAH Nationwide in Dover Delaware Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Dover Delaware Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Dover Delaware Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..