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Description The Behavioral Health Care Coordinator, in a telephonic environment, ... with resources appropriate for the care and well being of members. ... of members. The Behavioral Health Care Coordinator’s..
Description MUST BE BILINGUAL: CHINESE/ENGLISH (written and spoken proficiency)MUST ... HAVE WA RN LICENSE The Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and well..
Job Information Humana Member Care Advocate (Inbound Contact Representative 2) ... Representative 2) - English OR Bilingual English and Spanish Fluent Positions ... varied activities and moderately complex administrative/operational/customer support..
... puts Humana's overall success first. Customer Focus: Connects meaningfully with customers ... to build emotional engagement and customer advocacy. Simplifies complexity and integrates ... efforts to deliver an optimal..
Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is warranted ..
... nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings ... grow across the USA!! A Bilingual Medicaid Inbound Contacts Representative 2 ... and delivering on our Human..
... Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within ... Work Environment: This is a customer-centric member advocate environment focused on ... of the continuum of their..
Description Job Description Summary Care Management Support Specialists contribute to ... contribute to the administration of care management. The CMSS provides non-clinical ... with resources appropriate for the care and..
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 ..
Description Care Management Support Specialists contribute to ... contribute to the administration of care management. The CMSS provides non-clinical ... with resources appropriate for the care and wellbeing of members...
Description The Care Delivery Tele Sales Agent conducts ... and outbound calls within a care delivery setting. The Care Delivery Tele Sales Agent work ... to provide guidance and stellar..
Description The Care Management Support Assistant 2 contributes ... 2 contributes to administration of care management. Provides non-clinical support to ... with resources appropriate for the care and wellbeing of..
... new Inbound Contact Representative 2 (Bilingual-Spanish) positions that will have the ... Inbound Contact Representative 2 addresses customer needs that may include complex ... Qualifications 2 years or more..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... in developing a robust integrated care delivery model that integrates insurance ... insurance with high value health..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... Inbound Contact Representative 2 addresses customer needs that may include complex ... Qualifications 2 years or more..
Job Information Humana Oncology Market Director in Bridgeport Connecticut Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..
... committed to providing quality medical care and treatment that is coordinated ... Medical Home and provide health care in a setting where patients ... at the center of their..
... Fairfield Connecticut Description SeniorBridge Home Care is hiring a Front Office ... SeniorBridge is Humana's wholly-owned home care business acquired in 2012. We're ... life better. We provide concierge..
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 ... resolve non-routine business-related concerns. Responsibilities Bilingual Grievances & Appeal Representative 3 ... & Appeal Representative 3 Reviewing customer complaints Outreach to..
... Rep 2 - English OR Bilingual English and Spanish in Bridgeport ... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... as a member advocate, addressing..
