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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
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Job Information Humana Manager, Behavioral Provider Contracting - Remote in Charlotte North Carolina Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..
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 ..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Description The Associate Director, Strategy Advancement provides data-based ... the company at large. The Associate Director, Strategy Advancement requires a ... interrelate across department(s). Responsibilities The Associate Director, Strategy Advancement..
... and experiences (beneficiary, provider and associate). The Lead defines improvement projects ... KEY ACCOUNTABILITIES Process Improvement and Project Management Contributes to the identification ... projects, key insights, and ensure..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... progress and performance against the..
Description As the Associate Director, IT Project Management, you will use your ... for our Medicare segment. The Associate Director is responsible for setting ... appropriate to meet program and..
Description Responsibilities The Associate Director for ACD Audit , ... as optimizing operational processes. The Associate Director will lead design and ... to the ACD leaders. The Associate Director will..
... Native Corporation, is looking for Project Manager at Langley AFB, VA. This ... the ideal opportunity for a Project Manager looking to further their skills ... involving multiple complex..
... Clinical Analytics and Trend Program Manager in Charlotte North Carolina Description ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... progress and performance against the..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The RN Care Manager, Telephonic Nurse..
