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Description Responsibilities The Senior Clinical Insights Professional delivers clinical policy insight and information to ... external customers for Humana Government Business (HGB). The Senior Clinical Insights Professional will draft and..
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... Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the..
... measures the effectiveness of existing business processes and develops sustainable, repeatable ... develops sustainable, repeatable and quantifiable business process improvements. The Manager, Process ... Manager, Process Improvement: Researches best..
... but are not limited to: Lead, develop, and operationalize LTSS care ... quality improvement activities for the clinical team. Ensure best practice standards ... to create impactful member outcomes...
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior ... Management and Utilization Management. The Clinical Business Lead works on problems of diverse..
... Manager, Utilization Management RN - Remote in Tampa Florida Description The ... Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... Location : This is a..
... NAL employees assistants that are non-clinical and nurses that are Registered ... to act as an overall clinical concierge. The NAL Telephonic Nurse ... intervention Provide accurate and appropriate..
... Telephonic Behavioral Health 2 - Remote, US in Tampa Florida Description ... health care and achieve desired clinical outcomes. As part of the ... for all activities within the..
... Director, Care Management who will lead teams of nurses and behavior ... day to day operations for FL LTSS Program to assigned region(s). ... deliver on their contractual and..
... Care Management (Florida Medicaid) - Remote, Florida in Tampa Florida Description ... Director, Care Management who will lead teams of nurses, specialists and ... health services, healthcare administration, or..
... on semi-routine assignments. Responsibilities Location: Remote The Specialist contributes to the ... to the success of Humana's business strategy by collecting broad based ... authorizations, and referrals not requiring..
... Information Humana Utilization Management Nurse Lead - Remote FL in Tampa Florida Description The ... Description The Utilization Management Nurse Lead utilizes clinical nursing skills to support the .....
... Utilization Management Registered Nurse - Remote in Tampa Florida Description The ... The Utilization Management Nurse utilizes clinical nursing skills to support the ... Location : This is a..
... Health Services Compliance Manager - Remote FL in Tampa Florida Description The ... The Compliance manager will oversee clinical and non-clinical compliance associates that analyze compliance ... & regulatory..
... The Compliance manager will oversee clinical and non-clinical compliance associates that analyze compliance ... & regulatory requirements affecting audits. Lead remediation of internal and external ... governing the Medicare..
... Humana Pre-Authorization Nursing Supervisor - Remote Florida in Tampa Florida Description ... reviews for requested services using clinical judgment, and refers to internal ... processes Enters and maintains pertinent..
