Clinical Practice Specialist Jobs in Aberdeen

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 CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..

... a primary care medical group practice with centers open or opening ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach ... Coach Nurse, MA, Behavioral health..

... license and the ability to practice in all the states that ... minimum of 3 years of clinical nursing experience. Demonstrated clinical knowledge and expertise as evidenced ... solving..

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Aberdeen South Dakota Description Humana is looking for an experienced Healthcare Investigator to join its ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Aberdeen South Dakota Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..

... prepare the Behavioral Health( BH) Clinical Team with the tools necessary ... authorizations, and referrals not requiring clinical review Appropriately route cases needing ... review Appropriately route cases needing..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Aberdeen ... team that helps translate the clinical into financial to ensure Humana ... and providers. The Director, Pharmacy Clinical..

... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations,..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations,..

... 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..

... 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..

... 2 Medical Directors who conduct clinical case reviews of the care ... Medical Director for the Humana Clinical Operations Behavioral Division is looking ... physical integration, care modeling, best..

... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations,..

... team that helps translate the clinical into financial to ensure Humana ... leadership on key metrics. Support clinical research integration activities with internal ... and cross-functional teams Five years..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Aberdeen South ... Dakota Description The Senior Pharmacy Clinical Advisor will be part of ... medication use. The Senior..

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Aberdeen South Dakota Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special ..

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies ... HPS executive leaders, Trade Relations, Clinical, Analytics, Actuaries, and Operation functions ... strategies. Responsibilities The Director, Pharmacy Clinical Formulary..

... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations,..

Job Information Humana Clinical Formulary Strategy Pharmacist - Work ... South Dakota Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug ... and medical literature, while providing clinical support for..

... providers. Responsibilities The Director, HPS Clinical Programs requires a broad understanding ... managed care, and patient centered clinical programs with a focus on ... design to develop patient centered..