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... Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent ... action 3-5 years of prior..
Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... Demonstration). Responsibilities The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... (EFMP). Auditing for quality and clinical compliance,..
... serves as a Humana Military liaison to TRICARE beneficiaries, providers and ... unrestricted license to include: Licensed Clinical Social Worker (LCSW), Licensed Masters ... Licensed Masters Social Worker (LMSW-ACP),..
... (EFMP), auditing for quality and clinical compliance, and case management. Serve ... a Humana Military/Humana Behavioral Health liaison to TRICARE beneficiaries, guardians, personal ... documentation. Complete required audits of..
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 ..
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 Humana's National Medicaid Quality team is seeking a Market Consultant to be responsible for supporting individual Medicaid market quality teams and serving as the main relationship broker and liaison to ..
