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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 ..
Come join the FirstLight Family! We offer a competitive salary, flexible work schedules, benefits, and a 401K. We are an equal opportunity employer that values diversity at all levels! Loving CNA's ..
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 ..
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 Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
Job Information Humana Medicare Sales Field Agent - (Bilingual-Spanish or Hindi) in Queens New York Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, ..
Location: Melville, NY Department: Administrative Posted: 06/02/2023 Location Name: Melville Wage Max: 21.00 Hourly Wage Min: 21.00 Hourly Position Type: Full Time Shift: M - F 9:00am - 5:30pm Our Ideal ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
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 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 ..
Job Information Humana Manager, Utilization Management RN - Remote in Bridgeport Connecticut Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..
Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability shine? ..
Job Information Humana Utilization Management Registered Nurse - Remote in Bridgeport Connecticut Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..
Job Information Humana Medicare Sales Field Agent (Bilingual-Chinese, Korean, or Filipino) in Manhattan New York Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, ..
Job Information Humana Bilingual Quality Auditor in Bridgeport Connecticut Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
Job Information Humana Medicare Sales Field Agent (Bilingual-Chinese, Korean, or Filipino) in Queens New York Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, ..
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 Location CT - Bridgeport AIC - Bridgeport, CT Position Type Full Time Education Level Bachelors Degree Travel Percentage License Required Job Shift Various Shift Hours Bilingual Case Manager, AIC Highly ..
Description Responsibilities Humana's Corporate Marketing organization is seeking 2 Bilingual Production Professionals that are fluent in both English and Spanish to join the Humana Translation team supporting Medicaid growth and to ..
Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is warranted ..
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 ..