Bilingual Case Jobs

... Rep 2 - English OR Bilingual English and Spanish in Jersey ... medical, dental & vision benefits, case management, compliance requirements and more. ... performed for English and or..

Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..

Job Information Humana Call Quality Professional 1 in Jersey City New Jersey Description The Call Quality Professional 1 monitors and evaluates the quality of inbound and/or outbound customer service calls, call ..

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 facilitate ..

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 ..

Description The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further ..

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 Quality (Non-Calls) Professional 2 ensures that products meet certain standards of quality. The Quality (Non-Calls) Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..

Job Information Humana Bilingual Spanish RN Care Manager--Compact License ... titled Care Managers, because our case management services are centered on ... no disciplinary action. Must be bilingual in Spanish..

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 ..

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 ..

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

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 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 ..

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 ..

Job Information Humana Bilingual Quality Auditor in Jersey City ... City New Jersey Description The Bilingual Quality Auditor/ Professional 2 ensures ... finish to ensure accuracy. Responsibilities Bilingual Quality Auditor/..

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 The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further ..

... 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern ... and enrollment data. Must be bilingual English/Spanish with ability to speak ... limitations or assistance. Analyze Grievance/Appeals..

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 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 ..

Description The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further ..

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 ..