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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 ... schedules and goals. Responsibilities The..
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,..
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 Responsibilities Senior Care Manager, Behavioral Health (BCBA) This is ... non-exempt position with responsibility for utilization management and clinical decision-making as outlined ... as outlined in the Autism Care..
... 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..
Job Information Humana Manager, Utilization Management RN - Remote in Las ... Las Vegas Nevada 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..
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 Telephonic Care Manager in Las Vegas Nevada Description ... Vegas Nevada Description The Telephonic Care Manager will be part of the ... of the Humana Military Case..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
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..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... Las Vegas Nevada Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
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..
... 45 years' experience in making care more accessible and affordable.Intermountain Healthcare ... for a Medical Director for Utilization Management to join our team in ... yielding strong metrics on..
National Medical Director Utilization Management – Quality Management *Employed*Can work remote*Growing organization*Excellent compensation ... non-clinical activities that impact health care quality cost and outcomes.rnIdentifies and ... clinical support and participate..
... Information Humana Nationwide Associate Director, Utilization Management Nursing in Las Vegas Nevada ... Nevada Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The..
Job Information Humana Compact License-Utilization Management Behavioral Health Professional 2--Remote, MI, ... Las Vegas Nevada Description The Utilization Management Behavioral Health Professional 2 utilizes ... and/or benefit administration determinations. The..
... 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..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... Las Vegas Nevada The Clinical Manager coordinates and oversees all direct ... coordinates and oversees all direct care..
