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... titled Care Managers, because our case management services are centered on the ... Previous adult chronic conditions care management. Previous experience in care management. Knowledge of complex care management..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
... appropriate Identify members for specific case management and/or disease management activities or interventions by utilizing ... degree Experience working in Utilization Management within last 2 years Experience ... last..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care Manager, ..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..
... incentive programs, quality and clinical management, population health, data sharing, connectivity, ... assignment Required Qualifications BSN or Associate Degree in Nursing Nursing license ... care experience 3 years of..
... Care Manager for our Transition Case Management Program to provide one-on-one guidance ... and coordination of services, symptom management, and identification of Social Determinants ... telephonic triage experience Experience..
... Telephonic Transplant Care Manager-WAH in Brentwood Tennessee Description The Care Manager, ... appropriate Identify members for specific case management and/or disease management activities or interventions by utilizing ... degree..
... MTF CMs. Perform telephonic care management with beneficiaries throughout the East ... support groups Participate in care management and coordination of services in ... manner in accordance with Medical..
... and monitoring and evaluating the case management plan against the member's personal ... experience. Previous experience with electronic case note documentation and experience with ... diversion or long term..
... 2-Remote (Eastern Standard Time) in Brentwood Tennessee Description The Care Manager, ... clinical program design, implementation, and management, monitoring and reporting. Comply with ... telephonic triage experience Experience with..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager, Registered ..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..
... in both the treatment and management of most chronic and acute-care ... lifelong well-being by giving our associate fresh perspective, new insights, and ... relevant experience within chronic disease..
... Care and Education Specialist-Remote-US in Brentwood Tennessee Description The Certified Diabetic ... gap and integrate clinical and self-management aspects of diabetes care. The ... quality care. The CDCES promotes..
Description The Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Stars Improvement, Clinical Professional work assignments are varied and frequently ..
... Care Manager for our Complex Case Management Program. The Care Manager employs ... clinical program design, implementation, and management, monitoring and reporting. Comply with ... in an eNLC state..
Job Information Humana Senior Market Development Professional-RN-WAH Nationwide in Brentwood Tennessee Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, ..
Job Information Humana Workforce Management Professional 2 - Case/Care Management in Brentwood Tennessee Description The Workforce Management Professional 2 applies and integrates ... staffing, learning and development, talent management, diversity..