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Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
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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 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 ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Metairie Louisiana Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the ..
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 ..
Job Information Humana Telephonic Care Manager in Metairie Louisiana Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for Behavioral ..
Description Responsibilities The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism ..
Company Name: Kroger Specialty Pharmacy Position Type: Employee FLSA Status: Non-Exempt POSITION SUMMARY Perform duties to respond to incoming pharmacy calls from patients, prescribers' offices, insurance companies, and manufacturers, and employ ..
... be identifying and utilizing appropriate healthcare resources most consistent with the ... by providing guidance along the healthcare continuum. You will perform clinical ... promote efficient use of the..
Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..
