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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..
Job Information Humana Manager, Utilization Management RN - Remote in Riverton ... in Riverton Wyoming Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
... broad understanding of pharmacy, managed care, and specialty to develop and/or ... drug policy development and drug utilization management strategies Leads a team of ... medicine and total cost..
... Information Humana Nationwide Associate Director, Utilization Management Nursing in Riverton Wyoming Description ... Wyoming Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The..
... clinical case reviews of the care received by members in an ... around behavioral and physical integration, care modeling, best practice with behavioral ... will be responsible for Managing..
... Horizons have access to quality care for their behavioral health needs. ... overseeing clinical integrity, especially for utilization and case management activities. This includes developing measurable ... participate in..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Riverton ... Wyoming Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... and monitoring of the Autism..
... plans for the scope of management that are aligned with the ... *5 or more years of management experience *A current and unrestricted ... experience *Knowledge of the managed..
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..
... 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..
... 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..
... Information Humana Weekend Shift- RN Utilization Management Behavioral Health Nurse 2 - ... in Riverton Wyoming Description The Utilization Management Behavioral Health Nurse 2 utilizes ... and/or benefit administration..
... in Riverton Wyoming Description The Care Manager, Telephonic Nurse 2 , in ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members...
Description Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... to answer provider/beneficiary inquiries. The Care Management..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... in Riverton Wyoming Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC ... in Riverton Wyoming Description The Care Manager, Telephonic Behavioral Health 2, in ... with resources appropriate for the care..
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..
... but not be limited to, Care Management, Utilization Management, and/or Compliance. Understands department, segment, ... License. Three (3) years of utilization management experience specifically in precertification of .....
Job Information Humana Telephonic Care Manager in Riverton Wyoming Description The ... Riverton Wyoming Description The Telephonic Care Manager will be part of the ... of the Humana Military Case..
