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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... you succeed, we succeed! The..
Description The Care Manager, Telephonic Behavioral Health 2, in ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic..
... Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... and quality performance and staffing management. Detailed Responsibilities include: Leads Medicaid ... Medicaid operational process and..
... 5 years of direct patient care experience A current and unrestricted ... skills Knowledge of the managed care industry including Medicare, Medicaid and ... leading teams focusing on quality..
... reductions in total cost of care. To succeed in this position, ... (e.g., with Clinical Operations, Markets, Care Management, Analytics, Pharmacy, etc.) to develop ... appropriate and high-quality behavioral..
... requested services, requested level of care, and/or requested site of service ... associates, and possible participation in care management. The clinical scenarios predominantly arise ... arise from inpatient or..
... resources in providing quality patient care. Relocation, Commitment Bonus & Transitional ... Provides and facilitates patient centered care and patient flow and serves ... and participates in interdisciplinary patient..
... Director responsible for behavioral health care strategy and/or operations. The Behavioral ... the day-to-day administration and strategic management of behavioral and physical health ... and physical health services, including..
... the day-to-day administration and strategic management of behavioral and physical health ... and physical health services, including utilization management (UM), Case Management (CM), Disease Management (DM), population health management,..
... Information Humana Nationwide Associate Director, Utilization Management Nursing in Anchorage Alaska Description ... Alaska Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... courses of action. Responsibilities The Utilization Management..
Job Information Humana Manager, Utilization Management RN - Remote in Anchorage ... in Anchorage Alaska Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... and monitoring of the Autism Care Demonstration (ACD) including coordination of ... and clinical compliance, and case management. Serve..
... associates, and possible participation in care management. The clinical scenarios predominantly arise ... predominantly arise from inpatient, post-acute care environments, outpatient service requests, ER ... on collaborative business relationships,..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... in Anchorage Alaska Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
... a Registered Nurse (RN) Clinical Manager (5 North Medical Oncology, Day-Shift, ... our Mission to provide compassionate care that is accessible for all ... this position you will:** RESOURCE..
