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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 ..
17,196 Job Information Deloitte Conversational AI and VUI Designer, Consultant - Applied Artificial Intelligence in Portland Oregon Conversational AI and VUI Designer, Consultant - Applied Artificial Intelligence Limited immigration sponsorship may ..
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 ..
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 Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Portland Maine Description The Quality (Non-Calls) Professional 2 ensures that products meet specific Centers ..
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 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..
Job Details: The starting pay for this position is $18.65/hr. with a shift increase for second and third shift. If you are looking to make an impact in a meaningful way, ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Portland Maine Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
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 ..
... 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..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Portland Maine Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
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 Mondelez International Culture, Education and People Lead in Portland Oregon Are You Ready to Make It Happen at Mondelēz International? Join our Mission to Lead the Future of Snacking. ..
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 ..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Portland Maine Description 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 Bilingual Quality Auditor in Portland Maine ... in Portland Maine Description The Bilingual Quality Auditor/ Professional 2 ensures ... finish to ensure accuracy. Responsibilities Bilingual Quality Auditor/..
... Rep 2 - English OR Bilingual English and Spanish in Portland ... medical, dental & vision benefits, case management, compliance requirements and more. ... performed for English and or..
Job Information Humana Quality (non-calls) Professional 2/ Quality Audit/G&A (FULLY BILINGUAL English/Spanish) Remote, anywhere with Easter Time Zone in Portland Maine Description The Quality (Non-Calls) Professional 2 ensures that products meet ..