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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 ..
... and available resources to promote quality, cost-effective outcomes. Coordinate medical, behavioral and other ... unrestricted license to include: Licensed Clinical Social Worker (LCSW), Licensed Masters ... Licensed Masters Social..
... Member Plan (EFMP), auditing for quality and clinical compliance, and case management. Serve ... documentation. Complete required audits of clinical records. Assist in entry and ... Ensure audits are..
... advocate environment focused on high quality outcomes versus activities. Our department primarily ... of their care. We value quality work as every action taken ... the member and avoid..
... Member Plan (EFMP), auditing for quality and clinical compliance, and case management. Serve ... documentation. Complete required audits of clinical records. Assist in entry and ... compliance with ACD...
... strived to create better health outcomes and simplified experiences for millions ... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... interaction with beneficiaries to address..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... Health Medical Director will provide clinical oversight to Behavioral Health (BH) ... Behavioral Health (BH) administrative and clinical programs for TRICARE beneficiaries. They ... population health management, contract compliance,..
... our care can achieve better outcomes-and professionals can achieve their most ... career development. Superior training UltraCare® quality control and certification procedures ensure ... Nurse to ensure provision of..
... entry level designation into the Clinical Advancement Program (CAP). This position ... decision-making teaching leadership functions and quality improvement activities that enhance patient ... activities that enhance patient care..
... positive adjustment, rehabilitation and improved quality of life for our patients. ... and family to ensure comprehensive quality care of our patients. Supports ... Care (FKC) commitment to the..
Description The Care Management Support Assistant 3 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Job Information Humana Director, Informatics in Honolulu Hawaii Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
