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... Advanced degree Experience in Project Management Experience with multiple utilization management platforms Additional Information Interview Format:As ... interviews. Alert: Humana values personal identity protection. Please be aware that .....
Description The Utilization Management Nurse utilizes clinical nursing skills ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... by delivering personalized, simplified, whole-person healthcare experiences. Recognizing..
... Care Managers, because our case management services are centered on the ... Previous adult chronic conditions care management. Previous experience in care management. Knowledge of complex care management and..
... in both the treatment and management of most chronic and acute-care ... contributes to administration of care management. This role is a key ... Care team resources and care..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... of action. Responsibilities The Utilization Management Nurse 2..
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The ..
Description The Manager, Care Management leads teams of nurses and ... health professionals responsible for care management. The Manager, Care Management works within specific guidelines and ... goals. Responsibilities The..
... take charge of their own healthcare decisions. Provide guidance and clinical ... clinical program design, implementation, and management, monitoring and reporting. Comply with ... triage experience Experience with case..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
... ECOM leadership team with Program management & Pipeline trend management efforts Work with various Humana ... Minimum 2 years working in healthcare or a related industry 3 ... and..
Description The Senior Consumer Experience Professional ensures optimized interaction between a company and members. The Senior Consumer Experience Professional work assignments involve moderately complex to complex issues where the analysis of ..
Job ID 21000HSBAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
At GE Healthcare, our passionate people are creating ... and marketing strategy Strong project management skills Ability to work effectively ... or related field Deep Product Management/Marketing expertise, including: market..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... a Compact State The Utilization Management Behavioral Health..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... technology allows Responsibilities The Utilization Management Nurse 2..
Description Humana's Enterprise Clinical Management team needs your clinical, business ... acumen to solve for the healthcare challenges of today. The Clinical ... Care initiative program and process management Manages,..
... the day-to-day selling and/or account management for commercial specialty sales. Accountable ... equivalent professional experience Strong relationship management and customer service skills required ... telesales business to business experience..
... purpose is to provide care management program support resources to physicians, ... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country...
... determination, patient visits, and complaint management. Plan, organize and direct all ... and more than 100 related healthcare facilities from Racine to Eagle ... throughout Wisconsin — Wheaton Franciscan..
