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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Honolulu Hawaii Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care Manager will assist beneficiaries as they ... Military TRICARE - PDC Care..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
... at home or in the clinic, as well as equipment and ... related problems to the Clinical Manager/Home Therapy Program Manager, and physician including the correct ... to the..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
DescriptionLend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone every day. Brighten prospects for patients and your career. Connect with your goals and ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Honolulu Hawaii Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
... behavioral health care strategy and/or operations. The Behavioral Health Medical Director ... and clinical guidance for Medical Operations and Market Operations Develop comprehensive care programs for ... programmatic requirements..
Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana ..
POSITION FEATURES:Home dialysis biomedical technician. Must have basic tool and plumbing knowledge.About this role: As a Biomedical Technician with Fresenius Medical Care, you will maintain and repair medical and water treatment ..
Job Information Humana Senior Product Manager, Remote in Honolulu Hawaii Description ... Hawaii Description The Senior Product Manager Conceives of, develops, delivers, and ... customer use. The Senior Product Manager..