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... 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..
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...
Job Information Humana Medicaid Associate Director, Compliance Nursing in Ridgeland Mississippi Description The ... Ridgeland Mississippi Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
... 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 ... clinical..
... 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..
Job Information Humana Director, Behavioral Health Strategy in Ridgeland ... in Ridgeland Mississippi Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
... 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..
... 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..
... focus is on the well-being of its members, Humana is dedicated ... is dedicated to shifting perceptions of the health insurance industry. We ... our role goes beyond that..
... 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..
... Liaison works on a team of Clinical Managers & Clinical Liaisons ... well as the efficient use of clinical resources. She/he is accountable ... contribute to the overall success..
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..
... 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..
... 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..
... 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..
... to the National Medicaid Quality Director, and be responsible for the ... the development, maintenance, and execution of Humana Healthy Horizon's National Improvement ... Quality, within the Medicaid line..
... 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 Ridgeland Mississippi Description The ... Ridgeland Mississippi Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
... 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..
... Medicare, requires and in-depth understanding of how organization capabilities interrelate across ... initial peer review on quality of care complaints Participate in National, ... National, Regional and local meetings..
... 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 ... Required..
... AND SCOPE: Functions as part of the hemodialysis health care team ... patients under the direct supervision of a licensed nurse in accordance ... for the setup and operation..