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... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal care and treatment. Decisions are typically ... Degree in Nursing; *Active Compact..
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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..
... 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 Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... team. Responsibilities The Intern - Care Manager, Registered Nurse, RN, will utilize Humana's Florida ... appropriate..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... action. Responsibilities The Utilization Management Nurse 2..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls ... questions from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about ... assist with basic..
... Required Qualifications An active unrestricted Registered Nurse (RN) license in the state ... ability to identify gaps in care. Strong organizational and prioritization skills ... Health Administration, or a..
... fast paced insurance or health care setting. Comprehensive knowledge of Microsoft ... services, public health, or health care administration or a related field. Certified Professional in Health Care Quality..
... HR, Business Administration, other related field Understanding of curriculum design Enterprise ... processes Social Worker, Licensed Therapist, Registered Nurse or other clinical training experience ... program development experience in..
... improving operational process and clinical care quality in an effort to ... health outcomes. Establish and improve care coordination processes between outpatient Behavioral ... Health practices, hospitals, and primary..
... 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..
... 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 Utilization Management Nurse 2 utilizes clinical nursing skills ... Medicaid Plan. The Utilization Management Nurse 2 work assignments are varied ... action. Responsibilities The Utilization Management Nurse 2..
Description The Manager, Care Management leads teams of nurses ... behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines ... optimal wellness state by..
... The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ... The Utilization Management Behavioral Health Nurse 2 work assignments are varied ... The Utilization Management Behavioral Health..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care..
