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... The Care Manager, Telephonic Nurse 2 , in a telephonic environment, ... The Care Manager, Telephonic Nurse 2 work assignments are varied and ... The Care Manager, Telephonic Nurse..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Green ... team that helps translate the clinical into financial to ensure Humana ... and providers. The Director, Pharmacy Clinical..
... your future success. Support the clinical development and education, manage inventory ... participate in all facets of clinical and operational decision-making pertaining to ... product awareness._ _Works closely with..
... on opportunities to improve member health outcomes, member and care manager ... member and care manager experience, clinical quality, and savings to medical ... anywhere The Humana Care Management..
... practice standards of care and clinical experience Conducts timely reviews of ... databases Communicate in writing to health care providers, track timelines, and ... Assistant Diploma 3 years of..
... The Care Manager, Telephonic Nurse 2 employs a variety of strategies, ... member's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... in achieving and maintaining optimum..
... Assistant Diploma 3 years of clinical dental experience Experienced in investigating, ... Qualifications: Bachelors Degree in the health care field Clinical quality management experience or equivalent ... VA, TRICARE,..
... the IDT staff to provide clinical expertise to members, understanding the ... needing Nurse Practitioner involvement. Provide clinical expertise as needed in routine ... special areas of focus for..
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..
... providers. Responsibilities The Director, HPS Clinical Programs requires a broad understanding ... managed care, and patient centered clinical programs with a focus on ... with a focus on improving..
... team that helps translate the clinical into financial to ensure Humana ... trend while improving our member's health. Partner across Humana to identify ... leadership on key metrics. Support..
