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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..
Job Information Centerwell RN Clinical Manager in Lake Oswego Oregon The ... Lake Oswego Oregon The Clinical Manager coordinates and oversees all direct ... coordinates and oversees all direct care..
... Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Vancouver ... Vancouver Washington Description The Risk Management Professional 2 identifies and analyzes .....
Job Information Humana Telephonic Care Manager in Vancouver Washington Description The ... Vancouver Washington Description The Telephonic Care Manager will be part of the ... of the Humana Military Case..
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 ..
... is calling a Clinical Case Manager (LCSW) - Utilization Review Quality Management (1.0 FTE, Day) to Providence ... are seeking a Clinical Case Manager (LCSW) - Utilization Review Quality..
Job Information Humana Manager, Utilization Management RN - Remote in Vancouver ... in Vancouver Washington Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
... 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 Nationwide Associate Director, Utilization Management Nursing in Vancouver Washington Description ... Washington Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The..
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 Vancouver ... Washington Description The Lead Product Manager - Healthcare API (SME) as ... enrollment2. Provider data management3. Clinical care..
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 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..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... in Vancouver Washington Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
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 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 Professional 2 utilizes ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... courses of action. Responsibilities The Utilization Management..
