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... clinical experience and deep knowledge of managed care to find the ... Required Qualifications Bachelor's degree in Nursing, Healthcare Management or related field ... or related field Active R.N...
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... the coordination, documentation and communication of medical services and/or benefit administration ... administration determinations. The..
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...
... 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..
... compliance. The Lead has oversight of quality investigations and compliance processes, ... evaluating and investigations into quality of care concerns. This position has ... which promotes member safety, quality..
... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... for the care and wellbeing of members. The Care Manager, Telephonic ... members. The Care Manager, Telephonic..
... 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 ... Behavioral..
... analyze and measure the effectiveness of existing initiatives, and develop sustainable, ... work closely with the Quality Director, Behavioral Health Director, Quality Improvement staff and other ... to promote..
... 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..
... 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..
... 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..
... 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 ... Behavioral..
... 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..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for ... without direction. Responsibilities Senior Pre-Authorization Nurse: Serves as a team lead ... assist with questions and mentoring of clinical..
... The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and ... the coordination, documentation, and communication of medical services. Enjoy the flexibility ... medical services. Enjoy the flexibility..
... The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic ... for the care and wellbeing of members. The Transplant Care Manager, ... The Transplant Care Manager, Telephonic..
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..
