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... Home Advantage (YHA) Market Clinical Manager (MCM) will lead a team ... Assessments (IHWA). The Market Clinical Manager provides leadership, clinical management and ... practice providers. The Market Clinical..
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... in developing a robust integrated care delivery model that integrates insurance ... insurance with high value health care services, such as Primary Care, Home Care, and Pharmacy. Humana is..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
... promotion and disease prevention and care management services. The Wellness Coach ... individual regarding educational and health care needs. May communicate with primary ... needs. May communicate with primary..
Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product Manager works on problems of diverse ... seniors. As a OmniCare Clinical Care Product..
... in Brentwood Tennessee Description The Care Manager, Telephonic Nurse 2 , in ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members...
... platforms, and progressive approaches to care drive Humana Military to be ... Post Discharge Call (PDC) Telephonic Care Manager will be part of the ... part of the Humana..
Description The Care Management Support Assistant 3 contributes ... 3 contributes to administration of care management. Provides non-clinical support to ... with resources appropriate for the care and wellbeing of..
Description The Care Manager, Telephonic Social Worker in a ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager work..
Description The Care Coach 1 assesses and evaluates ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Coach 1 work..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..
Description The Manager, Care Management leads teams of nurses ... behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines ... schedules and goals. Responsibilities..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... platforms, and progressive approaches to care drive Humana Military to be ... the Government. Responsibilities The Telephonic Care Manager..
... experience for the ACD (Autism Care Demonstration) policy changes. Develop and ... measurements. 10% Working with ACD Care Management operational leaders, lead development ... healthcare or in a managed..
... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal care and treatment. Understands department, segment, ... transition to alternate level of..
Job Information Humana Telephonic Care Coach -WAH Nationwide in Brentwood ... in Brentwood Tennessee Description The Care Coach 1, in a telephonic ... with resources appropriate for the care and..
... and within the division, regarding Care Insights and other physician-focused related ... our value-based provider groups regarding Care Insights, meeting face-to-face and 'Dr. ... educate, promote and roll out..
... experience with requests for appropriate care and setting(s), guidelines and policies ... necessity review and level of care review for requested services. Educate ... address the BH levels of..
... revisions; Implement Utilization Management and Care Management Compliance Audit team to ... assure high quality and compliant care is delivered across Medicaid; Implementing ... decisions and provide access to..
Description Humana is a $77 billion (Fortune 41) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Fraud Investigation Technician 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud Investigation Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. ..