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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..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... schedules and goals. Responsibilities The..
... Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Washington ... Of Columbia Description The Risk Management Professional 2 identifies and analyzes .....
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Washington ... Columbia Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... and monitoring of the Autism..
Job Information Humana Lead Product Manager - Healthcare API in Washington ... Columbia Description The Lead Product Manager - Healthcare API (SME) as ... enrollment2. Provider data management3. Clinical care..
Description The Case Manager Hybrid I/II will provide case ... Hybrid I/II will provide case management services to patients and their ... regulations. The Professional Model of Care requires registered..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..
... Information Humana Nationwide Associate Director, Utilization Management Nursing in Washington District Of ... Columbia Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The..
... Medical Director of Long Term Care, Florida in Washington District Of ... Columbia Description The Long Term Care Medical Director supports the Long ... Director supports the Long Term..
Description The RN Case Management Process Advisor also known as ... also known as a Case Management Liaison (CML) will oversee the ... civilian providers. The RN Case Management Process..
HSC Home Care Registered Nurse','2200029R','The Registered Nurse assumes ... responsibility and accountability for the management of nursing and home health ... health aide functions and the utilization of ancillary agency..
... leader for Humana Behavioral Health Utilization Management Inpatient services - including all ... financial stewardship Responsibilities The Director, Utilization Management Behavioral Health Nursing utilizes clinical ... benefit administration determinations...
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..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding ... delivery process. The Associate Director,..
... regulations. The Professional Model of Care requires registered professional nurses to ... least one year experience in Utilization Management with knowledge of utilization review criteria. Experience in one .....
Job Information Humana Manager, Utilization Management RN - Remote in Washington ... District Of Columbia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
... any field Minimum 1 year Utilization Management such as, FER, Concurrent, Prior ... Prior Authorization Minimum 1 year Care Management and/or Care Coordination Exposure to Behavioral Health ... Work..
... Utilizes broad understanding of managed care and PBM knowledge to develop, ... wholly owned hospice and palliative care pharmacy business acquired by Humana ... nation's largest full-service pharmacy benefits..
Description The Director of Product Management for Clinical Pharmacy Products develops ... As the Director of Product Management for Clinical Pharmacy Products, you ... Humana's Pharmacy-based product strategies, product management..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... District Of Columbia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
Description The Utilization Management Behavioral Health Nurse 2 utilizes ... and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work ... courses of action. Responsibilities The Utilization Management..
