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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..
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..
... work assignments involve moderately complex to complex issues where the analysis ... experience with requests for appropriate care and setting(s), guidelines and policies ... necessity review and level of..
Description The Care Manager, Telephonic Nurse 2, in a ... evaluates members' needs and requirements to achieve and/or maintain optimal wellness ... with resources appropriate for the care and wellbeing..
Job Information Humana Manager, Utilization Management RN - Remote in Pittsburgh Pennsylvania ... in Pittsburgh Pennsylvania Description The Manager, Utilization Management Nursing utilizes clinical ... Nursing utilizes clinical nursing skills..
... 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..
... 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,..
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 Pittsburgh Pennsylvania Description The ... Pittsburgh Pennsylvania Description The Telephonic Care Manager will be part of the ... Management throughout the continuum 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..
... Responsibilities The Telephonic Nurse Case Manager will be a member of ... management throughout the continuum of care. The case manager will offer guidance. support, and ... and coordination..
... 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..
... 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..
... 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..
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..
... wholly owned hospice and palliative care pharmacy business acquired by Humana ... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... for the hospice and palliative..
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..
