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... Advanced degree Experience in Project Management Experience with multiple utilization management platforms Additional Information Interview Format:As ... Humana’s secure website. Work at Home : INTERNET REQUIREMENT As a .....
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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..
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..
... 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..
... 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..
... 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..
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..
... 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..
... on medical background and reviews health claims. The Medical Director work ... Medical Director Location: Work At Home Schedule: Variable and dependent on ... and possible participation in care..
... 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..
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..
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..
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..
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..
... 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..
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,..
