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... corporate quality resources and shared service organizations. This individual will interact ... areas to ensure the success of their market partners by supporting ... providing ongoing guidance and support..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Jersey City New Jersey ... New Jersey 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, ... the coordination, documentation and communication of medical services and/or benefit administration ... benefit administration..
... 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..
... 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..
... 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..
... 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..
... 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..
... Enclara is the nation's largest full-service pharmacy benefits manager (PBM) specifically ... clinical support, and excellent customer service. Responsibilities Summary The Clinical Liaison ... Liaison works on a team..
... 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..
... internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge ... Pharmacy Lead works on problems of diverse scope and complexity ranging ... Enclara is the nation's largest..
Job Information Humana Director, Behavioral Health Strategy in Jersey ... City New Jersey Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral ... the coordination, documentation, and communication of medical services. Enjoy the flexibility ... medical services. Enjoy the flexibility of Work-At-Home,..
... 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..
... 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..
... 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..
... Summit Avenue,Jersey City,New Jersey,07306,United States of America DaVita is seeking a ... exceptional difference in the lives of our patients and their families ... patients and build a network..
... Operations and Chief Clinical Officer of Kindred at Home, you will ... the ongoing strategic, operational, and service design to achieve the mission ... achieve the mission and vision..
... 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..
... 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..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Jersey City New Jersey ... New Jersey Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..