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... and action thresholds. Oversees facility’s Home Therapies Program if applicable. Accountable ... all patients. Must complete Clinical Manager training modules and ongoing developmental ... all patients. Must complete Clinical..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Pittsburgh Pennsylvania ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality ..
FULL-TIME IN-HOME CASE MANAGER - PIKE COUNTY, PA Do ... service new populations. We provide in-home programs as a way to ... as a response to out-of- home placement options...
Job Information Humana Senior Project Manager -- Remote in Pittsburgh Pennsylvania ... Pennsylvania Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
Description The Manager, STARS Improvement develops, implements, and ... Stars improvement team. Responsibilities The Manager, STARS Improvement develops the programs ... collaboration, and conducts briefings and area meetings while maintaining..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Pittsburgh ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... job as we are a healthcare..
Description The Manager, Medical Coding oversees the coding ... ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific ... schedules and goals. Responsibilities The Manager, Medical Coding confirms..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
SHE Environment Manager','038339','HSE','Environment','Full Time','Full Time','!*!Job Title: Safety, Health, ... Title: Safety, Health, & Environment Manager - Technical Advice Band: 3 ... - £55,000 per annum Location: Home & across various..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
Job Information Humana Manager of Fraud and Abuse Data ... Pittsburgh Pennsylvania Description Responsibilities The Manager of Fraud and Abuse Data ... Qualifications 5 plus years of healthcare claims experience..
Description The Director, Corporate Communications develops and coordinates lines of communication outside the department. The Director, Corporate Communications requires an in-depth understanding of how organization capabilities interrelate across the function or ..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide ... Description Job Description Summary The Manager, Care Management leads teams of ... multi-disciplinary care management team. The Manager, Care Management..
... Humana Specialty Pharmacy RX Enrollment Manager in Pittsburgh Pennsylvania Description Responsibilities ... Pittsburgh Pennsylvania Description Responsibilities The Manager, Consumer Engagement contributes to business ... and initiatives involving own departmental..
Genex Service LLC Field Case Manager 2 (2K Sign On Bonus) ... surrounding areas. The Field Case Manager is responsible for assessment, planning, ... will ensure appropriate and cost-effective healthcare..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
... Humana Specialty Pharmacy RX Education Manager in Pittsburgh Pennsylvania Description Responsibilities ... Pittsburgh Pennsylvania Description Responsibilities The Manager, Consumer Engagement contributes to business ... and initiatives involving own departmental..
Job Information Humana Manager, Utilization Management RN - Remote ... in Pittsburgh Pennsylvania Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate resource utilization, identification of opportunities ..
... Guidance on following and reviewing home health episodic and per diem ... whether services provided by other healthcare professionals are in agreement with ... of services provided by other..