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Description The Care Manager, Telephonic Nurse 2 , in ... evaluates members' needs and requirements to achieve and/or maintain optimal wellness ... with resources appropriate for the care and wellbeing..
... behavioral health knowledge and skills to support the coordination, documentation, and ... interpreting criteria, policies, and procedures to provide the best and most ... best and most appropriate treatment,..
Description The Behavioral Health Care Manager, Telephonic Nurse 2 , in ... evaluates members' needs and requirements to achieve and/or maintain optimal wellness ... with resources appropriate for the care..
Job Information Humana Telephonic Care Manager in Albany New York Description ... New York Description The Telephonic Care Manager will be part of the ... Management throughout the continuum of..
Description The Care Coach 1 assesses and evaluates ... evaluates member's needs and requirements to achieve and/or maintain optimal wellness ... with resources appropriate for the care and wellbeing of..
... prior authorization requests for appropriate care and setting, following guidelines and ... approves services or forward requests to the appropriate stakeholder. Makes decisions ... Makes decisions on moderately complex..
... prior authorization requests for appropriate care and setting, following guidelines and ... approves services or forward requests to the appropriate stakeholder. The Supervisor, ... requiring analysis of variable factors..
... include, but not be limited to, Care Management, Utilization Management, and/or Compliance. ... operating objectives, including their linkages to related areas. Makes decisions regarding ... established guidelines/procedures. Required Qualifications..
... records reviews for Coordination of Care studies. Analyzes data and implement ... operating objectives, including their linkages to related areas. Makes decisions regarding ... Qualifications Associate Degree Registered Nurse..
... 2 utilizes clinical nursing skills to support the coordination, documentation and ... interpreting criteria, policies, and procedures to provide the best and most ... best and most appropriate treatment,..
... hiring a Per Diem Scheduler to cover On-Call hours as-needed. The ... worked remotely. On-Call hours include Monday-Thursday 5PM-8:30AM; Friday 5:00PM-Monday 8:30AM. SeniorBridge is Humana's wholly-owned ... SeniorBridge is..
... necessity as required or pending to a nurse or supervisor who ... requiring Case Management and pend to appropriate point of contact for ... contacts MTFs and/or civilian providers..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional ... in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional ... assignments that involve moderately complex to complex issues..
... medical, mental health, & dental care services to over 70 county jails, prisons, ... NY, FL & NHnCorrectional health care is a unique, challenging, and ... that it provides..
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. ... team. Responsibilities The..
... a global organization that delivers care, aided by technology to help millions of people live ... by connecting people with the care, pharmacy benefits, data and resources ... data..
Job Information Humana Manager, Utilization Management RN - Remote in Albany New ... Albany New York Description The Manager, Utilization Management Nursing utilizes clinical ... Nursing utilizes clinical nursing skills..