Clinical Practice Specialist Jobs in Vermont

... 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..

A. SCOPE OF WORK: The lead nurse will mentor and support school-based nurses and nurse substitutes in the coordination of school health services, which includes the coordination of the district’s medical ..

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

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 ..

... 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..

... 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..

... 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,..

... RN designee, the LPN Nurse Practice Educator functions as a practitioner, ... Control (including Employee Health), and* Clinical PCC implementation. Key to this ... on units to: 2.2.1 Review..

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

... 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..

... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the clinical delivery process. The National Medicaid ... The National Medicaid Director of..

... 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 Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Montpelier Vermont Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Montpelier Vermont ... Vermont Description The Senior Pharmacy Clinical Advisor will be part of ... to the development of..

... 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 ... Montpelier Vermont Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug ... and medical literature, while providing clinical support for..

... 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 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..

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

The School Nurse is a unionized, exempt/salary position that will report to the Director of Student Support Services, the Principal, and the District Lead Nurse. This position is part-time for the ..

... 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..

... 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..

... of living options and professional clinical services. We are changing how ... management and staff along with clinical leadership, Wound Specialists (NWS), vendors ... central supply serving as the..