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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..
... Responsibilities The Telephonic Nurse Case Manager will be a member of ... a member of the Case Management Team, providing a comprehensive, holistic ... comprehensive, holistic approach for case..
... Information Humana RN Telephonic Transplant Care Manager-WAH in Pittsburgh Pennsylvania Description The ... in Pittsburgh Pennsylvania Description The Care Manager, Telephonic Nurse 2 , in ... with resources appropriate..
Job Information Humana Telephonic Care Manager in Pittsburgh Pennsylvania Description The ... Pittsburgh Pennsylvania Description The Telephonic Care Manager will be part of the ... of the Humana Military Case..
... SUMMARY This job implements effective utilization management strategies including: review of appropriateness ... review of appropriateness of health care services, application of criteria to ... criteria to assure appropriate..
... Ensure provision of quality patient care while maintaining cost-effective clinical operations ... Compliance Program, and FMS patient care and administrative policies as the ... decisions to ensure continuity of..
... 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..
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..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... in Pittsburgh Pennsylvania 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..
Job Information Humana Manager, Utilization Management RN - Remote in Pittsburgh ... in Pittsburgh Pennsylvania Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or 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..
... Information Humana Nationwide Associate Director, Utilization Management Nursing in Pittsburgh Pennsylvania Description ... Pennsylvania Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The..
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..
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..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Pittsburgh ... Pennsylvania Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... and monitoring of the Autism..
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 The Care Manager, Telephonic Nurse 2, in a ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic..
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 ..
