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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
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Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title: Medical Director Location: Work..
... closely with the market QI director on a frequent basis. Support ... expertise within the realm of Healthcare Quality operations and improvement methodology, ... measurement, and the improvement of..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates ... business acumen. Responsibilities As the Director of Product Management for Clinical Pharmacy Products, you will be..
... includes fiscal management, standards compliance, clinical practice, staff development, oversight and ... oversight and active participation in clinical practice, and performance improvement activities ... and families. Organize and direct..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director actively uses..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
Job Information Humana Physician - CenterWell - Atlanta, GA in Albuquerque New Mexico Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care ..
Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Albuquerque New Mexico Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Albuquerque New ... Albuquerque New Mexico Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team..
Description The Medical Director actively uses their medical background, ... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials,..
... 41) market leader in integrated healthcare with a clearly defined purpose ... experience and vitality of the associate community. Through offerings anchored in ... we are seeking an experienced..
... schedule, etc Collaborate with other healthcare professionals in the selection and ... , IV to PO recommendations, clinical practice guidelines, and antibiotic selections ... to drug information requests from..
