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25

Home Health Utilization Management Jobs





Job info
 
Company
**********
Location
Jersey City, NJ
Posted Date
Oct 31, 2020
Info Source
Employer  - Full-Time  90 

Description The Utilization Management Nurse utilizes clinical nursing skills ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... or cable modem for a home office..

 
Company
**********
Location
Jersey City, NJ
Posted Date
Mar 21, 2021
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..

 
Company
**********
Location
Jersey City, NJ
Posted Date
Mar 24, 2021
Info Source
Employer  - Full-Time  90  

Description Humana's Enterprise Clinical Management team needs your clinical, business ... identify clinical opportunities to improve health outcomes and improve the value ... Medical Director Assignment: Enterprise Clinical Management, Clinical..

 
Company
**********
Location
Jersey City, NJ
Posted Date
Sep 11, 2021
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..

 
Company
**********
Location
Jersey City, NJ
Posted Date
Sep 10, 2021
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments..

 
Company
Location
Jersey City, NJ
Posted Date
Aug 27, 2021
Info Source
Employer  - Full-Time  90  

... Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for ... and clinical compliance, and case management. Serve as a Humana Military/Humana ... as a Humana Military/Humana Behavioral..

 
Company
**********
Location
Jersey City, NJ
Posted Date
Apr 11, 2021
Info Source
Employer  - Full-Time  90  

... The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, ... The Care Manager, Telephonic Behavioral Health 2 work assignments are varied ... a Care Manager, Telephonic Behavioral..

 
Company
Location
Jersey City, NJ
Posted Date
Sep 14, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Jersey City, NJ
Posted Date
Jun 26, 2023
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..

 
Company
**********
Location
Jersey City, NJ
Posted Date
Jun 26, 2023
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..

 
Company
Location
Jersey City, NJ
Posted Date
Sep 20, 2021
Info Source
Employer  - Full-Time  90  

... a team environment on Humana's health plan accreditations, performing complex tasks ... Humana. Responsibilities Location: Work at Home Anywhere The Senior Accreditation Professional ... a team environment on Humana's..

 
Company
Location
Jersey City, NJ
Posted Date
Sep 24, 2021
Info Source
Employer  - Full-Time  90  

... on medical background and reviews health claims. The Medical Director work ... and possible participation in care management. The clinical scenarios predominantly arise ... relationships, value based care, population..

 
Company
**********
Location
Jersey City, NJ
Posted Date
Jun 26, 2023
Info Source
Employer  - Part-Time    90  

... on medical background and reviews health claims. The Medical Director work ... leading teams focusing on quality management, utilization management, discharge planning and/or home health or rehab Must be..

 
Company
**********
Location
Jersey City, NJ
Posted Date
Jun 29, 2021
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... shift to a work at home position..

 
Company
**********
Location
Jersey City, NJ
Posted Date
Jun 20, 2021
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..

 
Company
**********
Location
Jersey City, NJ
Posted Date
Apr 10, 2021
Info Source
Employer  - Full-Time  90  

... substantial. Responsibilities Location: work at home anywhere Humana's Enterprise Clinical Management (ECM) team needs your business, ... identify clinical opportunities to improve health outcomes and improve the value .....

 
Company
Location
Jersey City, NJ
Posted Date
Sep 15, 2021
Info Source
Employer  - Full-Time  90  

Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization ... as needed. The Pre-Authorization Behavioral Health Professional 2 work assignments are ... action. Responsibilities Location: work at home,..

 
Company
**********
Location
Jersey City, NJ
Posted Date
Apr 19, 2021
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... Saturday, Sunday, Monday, Tuesday The Utilization Management..

 
Company
**********
Location
Jersey City, NJ
Posted Date
Mar 26, 2021
Info Source
Employer  - Full-Time  90  

... on medical background and reviews health claims. The Medical Director work ... and possible participation in care management. The clinical scenarios predominantly arise ... relationships, value based care, population..

 
Company
**********
Location
Jersey City, NJ
Posted Date
May 14, 2021
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..

 
Company
Location
Jersey City, NJ
Posted Date
Jan 25, 2022
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments..

 
Company
**********
Location
Jersey City, NJ
Posted Date
Sep 10, 2021
Info Source
Employer  - Full-Time  90  

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..

 
Company
Location
Jersey City, NJ
Posted Date
Jun 26, 2023
Info Source
Employer  - Full-Time  90  

... Medical Director Location: Work At Home - any state Schedule: 40 ... and possible participation in care management. The clinical scenarios predominantly arise ... relationships, value based care, population..

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