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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 ..
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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 Registered Nurse - Remote in Tulsa Oklahoma Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Tulsa Oklahoma Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
Job Information Humana Care Manager, Telephonic Nurse 2-WAH-CT and MT in Tulsa Oklahoma Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements ..
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 Supervisor, Grievances & Appeals - Remote, EST or CST in Tulsa Oklahoma Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review ..
Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Tulsa Oklahoma Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying ..
Job Information Humana Social Media Representative 3 - Remote in US in Tulsa Oklahoma Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social media comments ..
Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Tulsa Oklahoma Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs to ensure ..
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 Utilization Management Administration Coordinator - Remote in Tulsa Oklahoma Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Tulsa Oklahoma Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Tulsa Oklahoma Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless nursing ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Tulsa Oklahoma Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
Job Information Humana Manager, Utilization Management RN - Remote in Tulsa Oklahoma Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Tulsa Oklahoma 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 Tulsa Oklahoma Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' ..
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 ..