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... to for disease management or coordination of care Conduct telephonic outreach to Humana ... members to address gaps in care. Apply nursing knowledge to promote ... data capture for..
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Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
... requested services, requested level of care, and/or requested site of service ... to internal associates, participation in care management and possible participation in ... management and possible participation in..
... services in HGB the Integrated Care Delivery Model. Essential Functions and ... management components of HGB's Integrated Care Delivery Model Provide clinical case ... and Market Operations Develop comprehensive..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
... Director responsible for behavioral health care strategy and/or operations. The Behavioral ... services in HGB the Integrated Care Delivery Model Essential Functions and ... management components of HGB's Integrated..
