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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..
... 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..
... 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..
... 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..
... 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..
... 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..
Description Responsibilities The Director, Health Services uses clinical knowledge, ... or services for members. The Director, Health Services will: Interact with ... integrated fashion with other areas of Clinical activity...
... 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..
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..
... 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..
