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Job Information Humana Medicaid Associate Director, Compliance Nursing in Montpelier Vermont Description The ... Montpelier Vermont Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... benefit administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding of..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Job Information Humana : Director, HR Business Partner - CenterWell Primary Care Organization (Florida Markets) in Montpelier Vermont Description CenterWell™ represents our payer-agnostic healthcare services for senior primary care, home health ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Risk Adjustment Integrity Unit (RAIU) Associate Director works collaboratively across the enterprise, communicating both the story and impacts of the highly specialized and critical investigations the unit conducts. This ..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Montpelier Vermont Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Montpelier Vermont Description The ... Montpelier Vermont Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
... difference.Join Genesis as a Unit Manager/Director - RN where your clinical ... greater autonomy. In your assigned nursing unit, you will support the ... unit, you will support the..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
... looking for a permanent RN Director overseeing Emergency Services. Department sees ... interviews now!Responsibilities of the Nurse Director-Emergency ServicesnnResponsible for the overall management ... operation of the Emergency Department.nThe..
Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Montpelier Vermont Description As a company whose primary focus is on the well-being of its members, Humana is dedicated ..
... the Chief Medical Officer (CMO)/Medical Director to review PA requests. The ... medical equipment, outpatient therapies, skilled nursing facility therapies, and all outpatient ... for forwarding to the CMO/Medical..
Job Information Humana Director, Behavioral Health Strategy in Montpelier Vermont Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
A leading acute care hospital located in central Vermont is now seeking an experienced Nurse Director Surgical Services to join their award-winning healthcare organization.This established acute care hospital is home to ..
