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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..
... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... of experience analyzing and solving customer problems, OR 1 years of ... environment (i.e. office, administrative, clerical,..
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 ..
... 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..
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 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 ..
... 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..
... 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..
... Medicaid Members and provide excellent service and support. These roles will ... mindset every day. These simple customer service principles are foundational in everything ... moderately complex administrative, operational,..
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 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 ..
... 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 ... Demonstrated experience with providing..
... 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 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 ..
... & Appeal Representative 3 Reviewing customer complaints Outreach to providers and ... Outreach to providers and members Customer conflict resolution Conflict prevention Required ... of experience in a telephonic..
... Medicaid Members and provide excellent service and support. These roles will ... Information) Minimum 2 years of customer service experience Must be available to ... Demonstrated experience with providing..
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 ..
