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... to build a Community of Care at the University of Cincinnati? ... in the role of Associate Director, Community Engagement and Operations. If ... join our energetic, multidisciplinary, collaborative..
Description Humana's Medicaid Behavioral Health Medical Director will oversee our behavioral health ... collaborate closely with the Chief Medical Officer (CMO) and the Behavioral ... and the Behavioral Health Administrative..
Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..
... for performing clinical audits on medical record documentation for quality and ... as outlined in the Autism Care Demonstration (ACD) policy, TRICARE Operations ... support the submitted charges. Comprehensive..
Description The Associate Director, Care Management leads teams of nurses ... behavior health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding ... across department(s)...
Description The Associate Director, Quality Assurance for Humana/Your Home ... Home Wellness Assessments. The Associate Director, Quality Assurance requires a solid ... requires a solid understanding of medical documentation and..
Description Humana's Enterprise Clinical Management team needs your clinical, business and ... The Clinical Analytics and Trend team uses advanced scientific techniques, data ... and improve the value of care..
... monitors drug development pipeline, and medical literature, while providing clinical support ... Utilizes broad understanding of managed care and PBM knowledge to develop, ... wholly owned hospice and palliative..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. This individual will ... identified members to assess their..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities Job..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. Complete telephonic reviews ... Assess discharge plans Coordinated with..
Description The Associate Director, Utilization Management Nursing uses clinical ... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal care and treatment...
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..
Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... benefit administration determinations. The Associate Director, Utilization Management..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..
Description The Medical Director actively uses their medical background, experience, and judgement to ... requested services, requested level of care, and/or requested site of service ... conferences, and other reference..
... the National Medicaid Clinical Operations team is expanding our shared services ... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The..
