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Description The Clinical Pharmacy Lead monitors drug development ... and medical literature, while providing clinical support for internal stakeholders. Utilizes ... and improve health outcomes. The Clinical Pharmacy Lead works..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... innovations, flexible medication access, one-on-one clinical support, and excellent customer service. ... customer service. Responsibilities Summary The..
... response to treatment to the Clinical Manager and the Participates in the ... the Council on Social Work Education. Social Worker licensure in the ... certifications and meets mandatory..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH ... Springfield Missouri Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
... Health Medical Director will provide clinical oversight to Behavioral Health (BH) ... Behavioral Health (BH) administrative and clinical programs for TRICARE beneficiaries. They ... Essential Functions and Responsibilities Lead..
Description The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic ... wellbeing of members. The Care Manager, Telephonic Nurse work assignments are ... seeking a Behavioral Health Care Manager..
... and 3) contribute as a clinical industry representative. As a leader, ... (PST) that drives national provider education strategy and operations along with ... background, business acumen, and industry-standard..
... Humana RN, Senior Stars Improvement, Clinical Professional in Springfield Missouri Description ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible ... Program. The Senior Stars Improvement,..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Springfield ... on medical background and industry-standard clinical / coding guidance to ensure ... ensure physician and healthcare provider..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
... resources which may include national clinical guidelines, Humana contract language, Humana ... and determinations, medical necessity criteria, clinical reference materials, internal teaching conferences, ... of moderately to highly complex..
Description The Manager, Fraud and Waste, Genetic Counseling ... and Waste, Genetic Counseling provides clinical support for investigations of allegations ... fraudulent and abusive practices. The Manager, Fraud and Waste,..
Description The Intern - Care Manager, Registered Nurse, RN performs varied ... Responsibilities The Intern - Care Manager, Registered Nurse, RN, will utilize ... courses of action. The Care Manager,..
Description The Associate Director, Operational Readiness ensures optimized interaction between a company and members through the development of predictable and sustainable readiness practices including continuous improvement methodologies that allow for rapid ..
... Springfield Missouri Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... trained to act as a..
Description The Clinical Applications Trainer (aka Senior Technology ... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... innovations, flexible medication access, one-on-one clinical support, and excellent..
Description The Care Manager, Telephonic Nurse 2 , in ... Time Zone The Transplant Care Manager, Telephonic Nurse 2 employs a ... Work tasks assigned in the clinical documentation system..
Description The Care Manager, Telephonic Nurse Assistant 2 receives ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is ... NAL employees assistants that are non-clinical and nurses..
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..
Description The Social Services Care Manager, in a telephonic environment, assesses ... - 6pm EST. The Care Manager, Telephonic Behavioral Health 2 is ... determining appropriate interventions such as education,..
