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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 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 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..
... Information Humana Nationwide Associate Director, Utilization Management Nursing in Newport Rhode Island ... Island 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..
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 Telephonic Care Manager in Newport Rhode Island Description ... Rhode Island Description The Telephonic Care Manager will be part of the ... of the Humana Military Case..
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 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 Newport ... Newport Rhode Island Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
... 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..
... 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 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 ..
... Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Newport ... Rhode Island Description The Risk Management Professional 2 identifies and analyzes .....
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 Lead Product Manager - Healthcare API in Newport ... Island Description The Lead Product Manager - Healthcare API (SME) as ... enrollment2. Provider data management3. Clinical 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..
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 ... Newport Rhode Island Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Newport ... Island Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... and monitoring of the Autism..
Job Information Humana Care Management Support Professional- Prescription Assistance Program-CenterWell-Remote ... Newport Rhode Island Description The Care Management Support Professional 1 contributes to ... 1 contributes to administration of care..
