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Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..
Description The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization Behavioral ..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly jump ..
... action. Hold an active Compact nursing license- must have prior to ... Council of State Boards of Nursing (NCSBN) developed the Nursing Licensure Compact (NLC), which is ... of..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC state required in Riverton Wyoming Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' ..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
... Required Qualifications Associates degree in Nursing Current, Active Registered Nurse (RN) ... Must have an active Compact nursing license PRIOR to applying for ... Council of State Boards of..
Description The Behavioral Health Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..
... The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from ... NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about Humana ... that provides Humana members with..
... Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US ... in Riverton Wyoming Description The Certified Diabetic Care and Education Specialist ... (CDCES) delivers comprehensive and seamless..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Riverton Wyoming Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
Description The RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Riverton Wyoming Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. ..
... leadership Required to become CCM certified within 2 years of date ... state Required to become CCM certified within 2 years of date ... of hire Bachelor's degree in..
