- Humana (Tallahassee, FL)
- …for the Care Management line of business including both clinical and non- clinical roles. **The Senior Learning Design Professional will support Clinical ... community and help us put health first** The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to… more
- Humana (Tallahassee, FL)
- …license as a Mental Health (MH) Professional to include: **Licensed Professional Counselor (LPC), Licensed Clinical Marriage and Family Therapist (LCMFT), ... care plans in collaboration with identified stakeholders when appropriate. + Provide professional and courteous service to all callers and work to resolve any… more
- Humana (Tallahassee, FL)
- …of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national ... clinical guidelines, CMS policies and determinations, clinical ...to understand Humana processes with a focus on collaborative professional relationships. The ideal candidate will have a high… more
- Humana (Tallahassee, FL)
- …first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full accountability from strategy to ... - Provider Practice Management role is a critical member of the multidisciplinary clinical initiatives team within Clinical Strategy and Analytics. This role is… more
- Humana (Miramar, FL)
- …Registered Nurse complete appropriate documentation in a timely manner to assure compliance with agency policy. Demonstrate commitment and professional growth by ... and plan of care under the direction and supervision of the Director of Clinical Services/ Clinical Manager. Such care must be provided in accordance with current… more
- Humana (Fort Lauderdale, FL)
- …the health team. Complete appropriate documentation in a timely manner to assure compliance with agency policy. Demonstrate commitment and professional growth by ... and plan of care under the direction and supervision of the Director of Clinical Services/ Clinical Manager. Such care must be provided in accordance with current… more
- Humana (Tallahassee, FL)
- …full utilization of benefits and advocacy. This role requires effective and professional communication with providers, community resources, and other members of the ... in the member's record is required to ensure CMS compliance , and accurately reflect work with members, providers, and...Must have passed ASWB Exam (Master, Advance Generalist, or Clinical level) + Minimum 3 years of experience working… more
- Humana (Tallahassee, FL)
- …data issues and optimization opportunities. Work with actuarial, financial, and clinical teams to assess and determine optimal data solutions. Provide strategic ... degree, recent and relevant work experience, and/or other relevant professional designations. + MAAA + Experience in more than...and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the… more
- Humana (Tallahassee, FL)
- …mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate ... Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to make an… more