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Description Humana's Lead Program Integrity Investigator will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities pursuant to state ..
... Utilizes broad understanding of managed care and PBM knowledge to develop, ... a broad understanding of managed care and Pharmacy Benefit Management (PBM) ... years of experience in managed..
Description The Care Manager, Telephonic Behavioral Health 2 , ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic..
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 RN, Mom's First Field Care Manager (Mom's First/Maternity) assesses and evaluates ... with resources appropriate for the care and wellbeing of members. The ... members. The RN, Mom's..
... 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..
Job Information Humana Field Care Manager, Behavioral Health - Tulsa, OK ... in Tulsa Oklahoma Description The Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses and evaluates..
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 ..
Job Information Humana Telephonic Care Coach -WAH Nationwide in Tulsa ... in Tulsa Oklahoma Description The Care Coach 1, in a telephonic ... with resources appropriate for the care and..
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..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... schedules and goals. Responsibilities The Manager, Utilization Management Nursing..
Description The Manager, Utilization Management (Behavioral Health) utilizes ... and/or benefit administration determinations. The Manager, Utilization Management (Behavioral Health) works ... schedules and goals. Responsibilities The Manager, Utilization Management (Behavioral..
Description The Care Guide (Care Coach 1) assesses and evaluates ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Guide..
... 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 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..
... direct responsibility for establishing the Care Management and Chronic Condition Management ... best and most appropriate treatment, care or services for members. Responsibilities ... and leading implementation of the..
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 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 ..
... 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..
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..
Job Information Humana (RN)Associate Director, Care Management - Oklahoma City, OK ... Oklahoma Description The Associate Director, Care Management leads teams of nurses ... behavior health professionals responsible for care..
Job Information Humana RN, Field Care Manager Nurse 2 - Tulsa, OK ... Tulsa Oklahoma Description The RN, Field Care Manager Nurse 2 (Care Manager, Physical Health) assesses and evaluates..
Description Responsibilities The Telephonic Care Manager will be part of the ... part of the Humana Military Care Management team; providing a comprehensive, ... programs throughout the continuum of care...
