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Description The Director, Health Services utilizes clinical nursing skills to support the coordination, ... the coordination, documentation and communication of medical services and/or benefit administration ... and/or benefit administration determinations...
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... the coordination, documentation and communication of medical services and/or benefit administration ... benefit administration..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Pittsburgh Pennsylvania Description The ... Pittsburgh Pennsylvania Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
Job Information Humana Director, Behavioral Health Strategy in Pittsburgh ... in Pittsburgh Pennsylvania Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
... the coordination, documentation, and communication of medical services and/or benefit administration ... require interpretation and independent determination of the appropriate courses of action. Responsibilities The Utilization Management ... clinical..
... per week General Summary: The Nursing Supervisor assists in the organization, ... organization, development, management and administration of nursing service activities. Assists in managing ... the department in the..
... you want to be part of an inclusive team that works ... you want to be part of this exciting work, you belong ... us to improve the health..
... delivery process. The National Medicaid Director of Clinical Strategy and Practice builds ... community within the enterprise. The Director of Clinical Strategy has direct responsibility ... and services utilized..
... Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... the coordination, documentation and communication of medical services and/or benefit administration ... require interpretation and independent determination..
... an immediate opportunity for an Director of Admissions General Summary: The Director of Admissions is responsible for the ... admission process and staff. The Director of Admissions is responsible..
... the coordination, documentation, and communication of medical services. Enjoy the flexibility ... medical services. Enjoy the flexibility of Work-At-Home, from anywhere in the ... at least three (3) years..
... physician, supervised by the CEO of Behavioral Health, and in conjunction ... and in conjunction with the Director of Nursing, the Certified Registered Nurse Practitioner ... administering and overseeing..
... an experienced and dynamic Associate Director of Accreditation to manage a team ... Accreditation to manage a team of subject matter experts on NCQA ... have a proven track..
... FMS policy requirements. Ensure provision of quality patient care while maintaining ... programs. Adheres to all requirements of the FMCNA Compliance Program, and ... daily decisions to ensure continuity..
... is responsible for the care of pediatric and adult patients withkidney ... be involved in the delivery of primary nursing care for patients with CKD.Supervises ... vital signs, initiation..
... Senior Primary Care, a subsidiary of Humana Inc., is the new ... senior-focused primary care for members of Medicare Advantage health plans and ... both the treatment and management..
... assist with questions and mentoring of clinical staff Reviews and resolves ... other CarePlus departments Leads implementation of process improvement initiatives based on ... Completes medical necessity and level..
... for the care and wellbeing of members. The Care Manager, Telephonic ... require interpretation and independent determination of the appropriate courses of action. Responsibilities Location: work at ... Nurse..
... orient, supervise and evaluate performance of mental health, nursing and clerical personnel. Final approvals ... hiring must be received from Director of Human Resources prior to employee ... to..
... the coordination, documentation, and communication of medical services and/or benefit administration ... require interpretation and independent determination of the appropriate courses of action. Responsibilities Location: Work at ... require..
... ABA CPT codes. Our Department of Defense Contract requires U.S. citizenship ... compliance based on the findings of their audits. 10% Assist with ... assigned by Supervisor, Manager and/or..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Pittsburgh Pennsylvania Description The ... Pittsburgh Pennsylvania Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
... Operations and Chief Clinical Officer of Kindred at Home, you will ... achieve the mission and vision of the Home Health clinical operations. ... Operations and Chief Clinical Officer..