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Description The RN Care Manager, Telephonic Nurse 2 (Obstetrics), works in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..
Description The Professional 2, Creative Development coordinates the development of advertising/marketing communications materials by creative design and creative writing services to effectively represent the products, services, brands and/or the organization to ..
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 Grievances & Appeals Representative 3 (FULLY BILINGUAL English/Spanish) Work at Home Florida ONLY in Tallahassee Florida Description The Bilingual Grievances & Appeals Representative 3 manages client denials and ..
Job Information Humana Care Coach 1 - Leon/Madison/Taylor County, FL in Tallahassee Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..
Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Job Information Humana OB Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish or Creole) Remote FL in Tallahassee Florida Description The Care Management Support Assistant 2 contributes to administration of care management. ..
Job Information Humana Supervisor, Grievances & Appeals in Tallahassee Florida Description The Supervisor, Grievances & Appeals works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors ..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
