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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 , ... with resources appropriate for the care and well..
... SeniorBridge is Humana's wholly-owned home care business acquired in 2012. We ... in 2012. We provide concierge care management, private duty nursing, and ... private duty nursing, and personal..
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...
... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal care and treatment. Begins to influence ... private practice or other patient..
... 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..
Job Information Humana Consumer Engagement Professional in Charleston West Virginia Description The Consumer Engagement Professional 2 oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and ..
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..
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 ..
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..
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..