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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 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 Utilization Management Administration Coordinator - Remote in Jersey City New Jersey Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied ..
Job Information Humana On-Call Scheduling Coordinator - Homecare in Jersey City New Jersey Description SeniorBridge is hiring remote, Part-Time Scheduling Coordinators to cover On-Call hours. On-Call hours include Mon-Fri from 5pm ..
Job Information Humana Manager, Utilization Management RN - Remote in Jersey City New Jersey Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
Job Information Humana Bilingual Quality Auditor in Jersey City New Jersey Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards 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 ..
Job Information Humana Telephonic Behavioral Health Licensed Social Worker - SNP in Jersey City New Jersey Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and ..
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 RN Care Manager--Compact License Required-WAH Nationwide in Jersey City New Jersey Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Jersey City New Jersey Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates ..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Jersey City New Jersey Description The Quality (Non-Calls) Professional 2 ensures that products meet ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Jersey City New Jersey Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive ..
Job Information Humana Utilization Management Registered Nurse - Remote in Jersey City New Jersey Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of ..
Job Information Humana Quality (non-calls) Professional 2/ Quality Audit/G&A (FULLY BILINGUAL English/Spanish) Remote, anywhere with Easter Time Zone in Jersey City New Jersey Description The Quality (Non-Calls) Professional 2 ensures that ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Jersey City New Jersey Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and ..
Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Jersey City New Jersey Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible ..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Jersey City New Jersey Description The Quality (Non-Calls) Professional 2 ensures ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Jersey City New Jersey Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and ..
Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Jersey City New Jersey Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs ..
Job Information Humana Social Media Representative 3 - Remote in US in Jersey City New Jersey Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social ..