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... closely with the Health Services Director and RVP, Health Services (CMO) ... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... with Clinical Leaders to implement..
Description The Medicaid Oklahoma Pharmacy Director monitors drug development pipeline, and ... monitors drug development pipeline, and medical literature, while providing clinical support ... Utilizes broad understanding of managed 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..
... Summary The Medicaid Oklahoma Pharmacy Director monitors drug development pipeline, and ... monitors drug development pipeline, and medical literature, while providing clinical support ... Utilizes broad understanding of managed..
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..
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..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. Complete telephonic and/or ... Reviews discharge plans. Coordinates with..
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..
... 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 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..
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..
... 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..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... well-being Responsibilities Join a collaborated team of Nurses and Medical Directors that work together on ... best..
Job Information Humana (RN)Associate Director, Care Management - Oklahoma City, OK ... Tulsa Oklahoma Description The Associate Director, Care Management leads teams of nurses ... behavior health professionals responsible for..
