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Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed!..
Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... Humana is seeking a Care Manager, Telephonic Behavioral..
... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... by other healthcare professionals in compliance with review policies, procedures, and ... with a context of regulatory..
Description Humana is rapidly evolving from an insurance company with elements of health to a healthcare company with elements of insurance. We are embarking on an ambitious journey to implement a ..
... of living options and professional clinical services. We are changing how ... with Genesis and join our clinical team as an Assistant Director ... nursing care while achieving positive..
Job Information Humana Director, Care Delivery and EMR/EHR Technology in Charleston West Virginia Description The Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives specific ..
Job Information Humana Associate Director, Provider Data Interoperability in Charleston West Virginia Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance ..
Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing ..
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 Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... (EFMP), auditing for quality and clinical compliance, and case management. Serve as ... documentation. Complete required audits of clinical..
Description The Remote Systems Clinical Pharmacist will provide excellent customer ... maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ... to the following: Account / Clinical Support..
... with questions and mentoring of clinical staff Reviews and resolves escalated ... on data analysis and identified compliance and operational risks Reviews inventory ... reviews for requested services using..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC ... West Virginia Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic..
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 ..
Description This role will lead a cross-functional technology product team focused on building a world-class developer experience for Humana's external virtual care partners. Integrations in healthcare are often labor-intensive, bespoke, and ..
Description The Project Manager manages all aspects of a ... and within budget. The Project Manager work assignments are varied and ... action. Responsibilities As a Project Manager you will..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Charleston ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... (EFMP), auditing for quality and clinical..
Description The Director, Clinical Pharmacy Drug Evaluation and Policy ... Strategies oversees drug class reviews/evaluation, clinical policy strategy development, research, P&T ... and providers. Responsibilities The Director, Clinical Pharmacy Drug..
