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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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... appointment availability, collaborating with Field Operations to address network inadequacy, and ... as outlined in the TRICARE Operations Manual (TOM), the TRICARE Reimbursement ... Electronic Questionnaire for Investigation Processing)...
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..