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If you are a Certified Nursing Assistant or Home Health Aide and would enjoy providing one-on-one home care to the elderly, please apply. We are looking for CNA/HHAs in Palm Coast ..
Description The Compliance (UM) Professional 2 conducts and summarizes compliance audits. The Compliance (UM) Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses ..
Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Job Information Humana Supervisor, Grievances & Appeals in Saint Augustine Florida Description The Supervisor, Grievances & Appeals works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable ..
Description The Referral Coordinator 1 schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office. The Referral Coordinator 1 performs basic administrative/clerical/operational/customer ..
Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
... Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish or Creole) Remote FL in ... market office for meetings (IF BILINGUAL) Language Proficiency Testing (English and ... Language Proficiency Testing (English..
Job Information Humana Care Coach 1- Social Services-Call Center - Bilingual English/Spanish - Remote FL in Ormond Beach Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements ..
... department prefers candidates that are bilingual in both English and Spanish. This does not exclude non-bilingual candidates If you are bilingual, you are invited to take ... you elect..