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Description The Utilization Management Nurse uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or ..
Job Information Humana Healthcare Lead Product Manager: Chinese and ... comprised of strategy, segment product management, customer experience, and business intelligence ... to market, ideally in the healthcare space. Experience..
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Description The Senior Risk Management Professional will be responsible for ... for managing third party risk management (TPRM) work streams to support ... mission. Responsibilities The Senior Risk Management Professional..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... determinations. The Associate Director, Utilization Management Nursing requires a solid understanding ... process. The Associate Director, Utilization Management..
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..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... we succeed! The Manager, Utilization Management Nursing..
... The Senior Demand and Portfolio Management Professional collaborates with the business ... The Senior Demand and Portfolio Management Professional work assignments involve moderately ... The Senior Demand and Portfolio..
Description The Senior Portfolio Management Professional collaborates with the business ... and demand. The Senior Portfolio Management Professional work assignments involve moderately ... Description Summary The Senior Portfolio Management Professional..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... answer provider/beneficiary inquiries. The Care Management Support..
Description The Care Management Support Assistant 3 contributes to ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care Management Support Assistant..
Description The EAP Senior Counselor, Management Consultant provides ongoing and crisis ... lives. The EAP Senior Counselor, Management Consultant work assignments involve moderately ... Responsibilities The EAP Senior Counselor, Management..
Description The Vendor Quality Medical Director will manage ... Medical Director will manage clinical vendor quality outcomes for Humana Clinical ... Medical Director to manage clinical vendor quality outcomes for..
Job Information Humana Healthcare Lead Product Manager: Hispanic Segment ... comprised of strategy, segment product management, customer experience, and business intelligence ... to market, ideally in the healthcare space. Experience..
Description The Care Management Support Assistant 2 contributes to ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care Management Support Assistant..
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..
Job Information Humana Care Coach Coordinator 2 (IL Medicaid) - North side of Chicago, Cook, Lake and DuPage Counties in Chicago Illinois Description The Care Coach 2 assesses and evaluates member's ..
Description The Director of Product Management for Clinical Pharmacy Products develops ... As the Director of Product Management for Clinical Pharmacy Products, you ... Humana's Pharmacy-based product strategies, product management..
... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With a history of transformation ... about solving big problems in..
... anywhere The Senior Clinical Delegation Vendor Oversight builds relationships with and ... operational oversight for third party vendor relationships maintained by the Employer ... related areas. Senior Clinical Delegation..
