Humana jobs

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Director, Network Optimization (Manage Care, Contracting, Business Development, Value-Base)

Glen Allen, VA 23060

Humana Healthy Horizons in Virginia is seeking a Director, Network Optimization who will oversee the strategic development and maintenance of the Virginia Medicaid plan’s provider network. They will be responsible for driving network optimization and value, while also ensuring compliance with network requirements in the Virginia Department of Medical Assistance Services (DMAS) Managed Care...

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36 minutes ago
Remote

Social Worker/Care Coach

Baldwin, WI 54002

*MUST RESIDE IN BALDWIN, WI TO CONDUCT HOME VISITS.* Humana is seeking a Social Worker/Case Manager, aka: Community Resource Coordinator (CRC), to join the Inclusa team to serve members in the Wisconsin Family Care (FC) program. In this role, you will be responsible for partnering with your fellow colleagues to provide top quality care to our members. They are looking to you in providing...

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36 minutes ago
No Experience

Field Service Coordinator/Entry Level (Care Manager, or RN, or Social Worker, or Counselor)

Indiana

*Become a part of our caring community and help us put health first* The Field Service Coordinator (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 care and wellbeing of members. The Service Coordinator work assignments are often...

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37 minutes ago
Remote

Social Work Case Manager

Luck, WI 54853

*MUST RESIDE IN THE LUCK, WI AREA TO CONDUCT HOME VISITS.* Humana is seeking a Social Worker/Case Manager, aka: Community Resource Coordinator (CRC), to join the Inclusa team to serve members in the Wisconsin Family Care (FC) program. In this role, you will be responsible for partnering with your fellow colleagues to provide top quality care to our members. They are looking to you in providing...

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37 minutes ago

Field Medical Records Retrieval Representative (EMR, Hospital, Provider)

New York

The Medical Records Retrieval Representative travels to provider offices within the NY City and surrounding area (role will be located in the Nassau, Suffolk or Queens counties) and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. * Travels up to 100% in assigned territory and other areas as needed. Travel will consist of driving to locations close to...

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37 minutes ago

Field Medical Records Retrieval Representative (EMR, Hospital, Provider)

Queens, NY

The Medical Records Retrieval Representative travels to provider offices within the NY City and surrounding area (role will be located in the Nassau, Suffolk or Queens counties) and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. * Travels up to 100% in assigned territory and other areas as needed. Travel will consist of driving to locations close to...

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37 minutes ago
Hybrid

Field Care Coordinator RN

Indiana

*Become a part of our caring community and help us put health first* Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who 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 care and wellbeing of members....

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37 minutes ago
Remote

Social Work/Care Coach

Menomonie, WI 54751

*MUST RESIDE IN THE Menomonie, WI AREA TO CONDUCT HOME VISITS.* Humana is seeking a Social Worker/Case Manager, aka: Community Resource Coordinator (CRC), to join the Inclusa team to serve members in the Wisconsin Family Care (FC) program. In this role, you will be responsible for partnering with your fellow colleagues to provide top quality care to our members. They are looking to you in...

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37 minutes ago

Per Diem Pharmacy Technician

Tampa, FL 33646

The Pharmacy Technician Pool Traveling Per Diem obtains new prescriptions and prescription refill information. Performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. Responsibilities The Pharmacy Technician (Pool Traveling Per Diem), supervised by a Pharmacist, performs the...

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37 minutes ago
No Experience Remote

Bilingual Pharmacy Technician

Florida

Become a part of our caring community and help us put health first The Clinical Pharmacy Technician 3 works in a team environment to obtain information needed for medications requiring prior authorizations. In this role you will: Use applications for multiple platforms needed to process and prepare prior authorizations requests requiring clinical review by the pharmacists. Enter...

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37 minutes ago
Remote

Bilingual Telephonic LPN or Social Worker

Illinois

*MUST RESIDE IN THE STATE OF ILLINOIS.* The Care Coach 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 care and wellbeing of members. The Care Coach work assignments are often straightforward and of moderate complexity. The Care Coach will...

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37 minutes ago
No Experience Hybrid

Behavioral Health Medical Director - Psychiatrist

Virginia

*Become a part of our caring community and help us put health first* Humana Healthy in Virginia is in search of a Behavioral Health Medical Director who will oversee our behavioral health (BH) clinical program for Medicaid members in Virginia. They will collaborate closely with the Associate VP, Clinical Services, the Director, BH & Addictions and Recovery Treatment Services (ARTS), and the...

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37 minutes ago
Hybrid

Utilization Management RN, Associate Director

Indianapolis, IN 46262

*Become a part of our caring community and help us put health first* The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding of how organization...

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38 minutes ago
Remote

Social Worker Case Manager

Mauston, WI

MUST RESIDE IN THE MAUSTON, WI AREA TO CONDUCT HOME VISITS.Humana is seeking a Social Worker/Case Manager, aka: Community Resource Coordinator (CRC), to join the Inclusa team to serve members in the Wisconsin Family Care (FC) program. In this role, you will be responsible for partnering with your fellow colleagues to provide top quality care to our members. They are looking to you in providing...

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3 hours ago
No Experience

Full Time Home Health RN

Fall River, MA 02722

Become a part of our caring community and help us put health first $10,000 Sign on Bonus! Company Car/ Flexible Schedules/ Benefits Day One! As a Home Health Registered Nurse, you will: * Provide admission, case management, and follow-up skilled nursing visits for home health patients. * Administer on-going care and case management for each patient, provide necessary follow-up as directed by...

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a minute ago
No Experience Remote

Medicare Sales Field Agent - Tarrant County area

Fort Worth, TX 76102

Become a part of our caring community and help us put health first Are you passionate about the Medicare population, looking for an opportunity to work in sales with the ability to directly impact your own income potential? Do you have a track record of building trusting relationships in the community and exceeding expectations? If so, we are looking for licensed, highly motivated, and...

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a minute ago
No Experience

Registered Nurse (RN) Clinical Manager, Home Health - Salisbury, NC

Kannapolis, NC 28081

Become a part of our caring community and help us put health first Work Schedule: Full-time/40 Hours Position Type: On-site Branch Location: Salisbury, NC This is not a remote or work-from-home position. The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. * Develops, plans, implements, analyzes, and organizes clinical operations for...

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12 minutes ago
No Experience

Medicare Sales Field Agent - Berkeley County

Goose Creek, SC 29445

Become a part of our caring community and help us put health first Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ability to directly impact your own income potential? Do you have a track record of building trusting relationships in the community and exceeding expectations? If so, we are looking for licensed, highly motivated and...

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12 minutes ago
No Experience

Registered Nurse (RN) Clinical Manager, Home Health - Salisbury, NC

Huntersville, NC 28070

Become a part of our caring community and help us put health first Work Schedule: Full-time/40 Hours Position Type: On-site Branch Location: Salisbury, NC This is not a remote or work-from-home position. The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. * Develops, plans, implements, analyzes, and organizes clinical operations for...

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12 minutes ago
No Experience

Clinical Assessment Advisor Baylor FBP

Kinston, NC 28501

Become a part of our caring community and help us put health first The Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by physician, performs ongoing evaluation of patient needs and coordinates team of professionals and other licensed clinicians and home health aides to ensure optimal clinical outcomes. Works with physician and/or...

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4 minutes ago

There are currently 472 Humana jobs in our Jobsora database. You can find job vacancies from a large number of companies in the results and find the best option for you.

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