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... award-winning team as the operations manager for Carilion Clinic Life-Guard and ... reflects our focus on safety, quality, and service excellence. We pride ... regional level IIIB Neonatal Intensive..
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Description The Manager, Care Management leads teams of nurses and ... teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines..
... The Senior Provider Engagement Dedicated Care Manager develops and grows positive, long-term ... support and improve financial and quality performance within the contracted working ... contracted working relationship with..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... to answer provider/beneficiary inquiries. The Care Management..
... on medical background and reviews health claims. The Medical Director work ... requested services, requested level of care, and/or requested site of service ... associates, and possible participation in..
Description The Care Manager, Telephonic Nurse 2 , in ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for ... and monitoring of the Autism Care Demonstration (ACD) including coordination of ... Member Plan (EFMP), auditing for..
... Utilizes broad understanding of managed care and PBM knowledge to develop, ... mitigate cost trend and improve health outcomes. The Clinical Pharmacy Lead ... wholly owned hospice and palliative..
... a company focused on the health and well-being of the people ... Strategy Advancement for our Healthcare Quality Reporting and Improvement (HQRI) organization. ... that is responsible for improving..
Description The Care Management Support Assistant 3 contributes to ... 3 contributes to administration of care management. Provides non-clinical support to the ... with resources appropriate for the care and..
... on medical background and reviews health claims. The Medical Director work ... issues regarding technical approach for project components, and work is performed ... experience Knowledge of the managed..
... requested services, requested level of care, and/or requested site of service ... associates, and possible participation in care management. The clinical scenarios predominantly arise ... predominantly arise from inpatient,..
... leader and innovator in the health and wellness industry. A passionate ... culture. We're not just a health insurance company: our diverse lines ... in developing a robust integrated..
Description Humana's Enterprise Clinical Management team needs your clinical, business ... identify clinical opportunities to improve health outcomes and improve the value ... and improve the value of care for..
