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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 ..
Job Information Humana Women's Health Telephonic Care Manager in Naples Florida Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to ..
... looking for motivated and dynamic case managers that enjoy making a ... and monitoring and evaluating the case management plan against the member's ... 4 years of relevant experience..