THE LARGEST COLLECTION OF JOBS ON EARTH
healthcare
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
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..
... Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... and quality performance and staffing management. Detailed Responsibilities include: Leads Medicaid ... Medicaid operational process and..
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,..
... 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 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 Manager, Utilization Management RN - Remote in Salem ... in Salem Oregon 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 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 ..
... Information Humana Nationwide Associate Director, Utilization Management Nursing in Salem Oregon Description ... Oregon Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The..
... Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Salem ... Salem Oregon Description The Risk Management Professional 2 identifies and analyzes .....
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..
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 Lead Product Manager - Healthcare API in Salem ... Oregon Description The Lead Product Manager - Healthcare API (SME) as ... enrollment2. Provider data management3. Clinical care..
... Director responsible for behavioral health care strategy and/or operations. The Behavioral ... the day-to-day administration and strategic management of behavioral and physical health ... and physical health services, including..
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 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..
... 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 ... 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 Behavioral Health 2, in ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic..
... the day-to-day administration and strategic management of behavioral and physical health ... and physical health services, including utilization management (UM), Case Management (CM), Disease Management (DM), population health management,..
Job Information Humana Care Management Support Professional- Prescription Assistance Program-CenterWell-Remote ... in Salem Oregon Description The Care Management Support Professional 1 contributes to ... 1 contributes to administration of care..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... in Salem Oregon Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
