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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..
RN Surgical Clinics - FT 1.0 Department: Surgical Specialty Clinics Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Provide safe, direct patient care utilizing the nursing process in ..
RN Medical Specialties Clinic - FT 0.75 Department: Medical Specialty Clinic Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Provide safe, direct patient care utilizing the nursing process ..
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 ..
... 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),..
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 ..
... (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 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 ..
... , IV to PO recommendations, clinical practice guidelines, and antibiotic selections ... evaluations (MUE) and preparation of clinical practice guidelines Responds to Code ... patient charts when appropriate. Document..
... includes fiscal management, standards compliance, clinical practice, staff development, oversight and ... oversight and active participation in clinical practice, and performance improvement activities ... and families. Organize and direct..
Description The Senior Clinical Strategy and Practice Professional builds ... strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The ... within the enterprise..
