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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..
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 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 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..
... 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..
... 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..
... 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..
... 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..
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..
... 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..
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..
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..
... 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..
... best and most appropriate treatment, care or services for members. The ... with internal stakeholders. Required Qualifications Registered Nurse (RN) 5 plus years prior ... East Central region Prior..
... 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..
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..
... 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..
... opportunity to provide direct member care and help evolve the care model based on insights. We ... Responsibilities Working within an interdisciplinary care team thoughtfully orchestrated to support .....
