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... Home Advantage (YHA) Market Clinical Manager (MCM) will lead a team ... Assessments (IHWA). The Market Clinical Manager provides leadership, clinical management and ... practice providers. The Market Clinical..
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..
... 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,..
... 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..
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 ... needs. Responsibilities The..
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..
... 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..
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 Weekend Shift- RN Utilization Management Behavioral Health Nurse ... 2 utilizes clinical nursing skills to support the coordination, documentation and ... interpreting criteria, policies, and procedures to..
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..
... 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..
... Advice Line Telephonic Nurse - RN Compact License States Only in ... Glen Allen Virginia Description The Care Manager, Telephonic Nurse 2 , in ... evaluates members' needs and..
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..
Job Information Humana Manager, Utilization Management RN - Remote in Glen Allen ... Glen Allen Virginia Description The Manager, Utilization Management Nursing utilizes clinical ... Nursing utilizes clinical nursing skills..
Job Information Humana Telephonic Care Manager in Glen Allen Virginia Description ... Allen Virginia Description The Telephonic Care Manager will be part of the ... Management throughout the continuum of..
... 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..
