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... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... directed. Periodically presents talks on clinical topics, clinical practice guidelines and/or case presentations to ... degree 5..
Psychiatric Nurse Practioner (PMHMP), Behavioral Health Unit, Full and part-time available (Full Time) Location: Providence,RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Newport ... team that helps translate the clinical into financial to ensure Humana ... and providers. The Director, Pharmacy Clinical..
... 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..
Care Coordination Specialist- per diem (Per Diem) Location: East Providence, RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption accommodation is granted. Proof ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Newport Rhode Island Description Humana is looking for an experienced Healthcare Investigator to join its ..
... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..
... 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..
BH Link Driver (Full Time) Location: East Providence, RI The BH Link is searching for enthusiastic professionals who are looking to make a positive impact in the Rhode Island community! The ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Newport Rhode Island Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..
Psychiatric Clinical Nurse Specialist (PCNS) (Part Time) Location: Providence,RI ... RI is seeking a Psychiatric Clinical Nurse Specialist (PCNS) to perform crisis evaluations, ... RI License as an advanced practice..
... 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..
Care Coordination Specialist (Full Time) Location: East Providence, RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption accommodation is granted. Proof of vaccination ..
... world.u00a0nnJob Description:nBASIC FUNCTION:nAssume an independent clinical practice, assessing, diagnosing, and implementing a ... potential health problems.nAssess and analyze clinical signs and symptoms, diagnose actual/potential ... as needed.nMaintain complete and..
... 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 Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Newport Rhode ... Island Description The Senior Pharmacy Clinical Advisor will be part of ... to the development of..
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..
Health Information Specialist (Full Time) Location: East Providence, ... purpose of the Health Information Specialist is to streamline program-level EHR ... a mix of administrative and clinical support related to..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work ... Rhode Island Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug ... and medical literature, while providing clinical support for..