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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 ..
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... Medicaid Members and provide excellent service and support. These roles will ... Inbound Contact Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
... Medicare Members and provide excellent service and support. Currently these roles ... Inbound Contact Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
Description The Bilingual Grievances & Appeals Representative 3 ... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... of experience analyzing and solving customer problems, OR 1..
... Medicaid Members and provide excellent service and support. These roles will ... for success! - Required Qualifications Bilingual in English and Spanish. (Review ... Information) Minimum 2 years of..
Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..
... Inbound Contact Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending customer grievances. Decisions are typically focused ... Qualifications Minimum 2 years of..
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 ..
... Medicaid Members and provide excellent service and support. These roles will ... Qualifications Minimum 2 years of customer service experience Must be available to ... Demonstrated experience with providing..
Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
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..
... established policies. Required Qualifications Fully Bilingual English/Spanish . Must be able ... 2 or more years of customer service experience 1 or more years ... you will learn more..
Description SeniorBridge is hiring a remote, Full-Time Scheduling Coordinator. SeniorBridge is Humana's wholly-owned home care business acquired in 2012. We provide concierge care management, private duty nursing, and personal care assistance ..
... nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings ... Medicaid Members and provide excellent service and support. These roles will ... grow across the USA!! A..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... Qualifications Minimum 2 years of customer service experience Bilingual in English and Spanish. (Potential ... Demonstrated experience..
... Medicare Members and provide excellent service and support. These roles will ... Inbound Contact Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... Inbound Contacts Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
