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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..
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... 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 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..
... Nurse (RN) - Work at home, Mountain or Pacific Time zones ... in Riverton Wyoming Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations...
... 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..
... Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC state required ... The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, ... The Care Manager, Telephonic Behavioral..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing ... documentation and communication of behavioral health services and/or benefit administration determinations. ... and/or benefit administration determinations. The Utilization..
... Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure ... performing auditing, quality and/or compliance Health Plan experience working with large ... a plus Previous experience..
... Information Humana Weekend Shift- RN Utilization Management Behavioral Health Nurse 2 - Compact License ... in Riverton Wyoming Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing..
... any field Minimum 1 year Utilization Management such as, FER, Concurrent, Prior ... Authorization Minimum 1 year Care Management and/or Care Coordination Exposure to ... Care Coordination Exposure to..
... Humana Senior Care Manager, Behavioral Health (BCBA) in Riverton Wyoming Description ... The Senior Care Manager, Behavioral Health (BCBA) is responsible for the ... and clinical compliance, and case..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist ... oncology requests. The Oncology Staff Utilization Management Pharmacist work assignments involve moderately ... factors. Responsibilities The Oncology Staff..
Job Information Humana Director, Behavioral Health Strategy in Riverton Wyoming Description ... Wyoming Description The Director, Behavioral Health (DBH) will ensure that populations ... quality care for their behavioral health..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... during training and by leader. Utilization Management..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... including rotational evening/weekend coverage. The Utilization Management Nurse 2 uses clinical knowledge, ... 2 to 3 years of home health..
Job Information Humana Manager, Utilization Management RN - Remote in Riverton ... Riverton Wyoming Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... benefit administration determinations. The Manager,..
... to mitigate cost while improving health outcomes. He/she requires an in-depth ... drug policy development and drug utilization management strategies Leads a team of ... outcomes Exceptional cross-functional collaboration,..
Description The Lead Behavioral Health Medical Director oversees the work ... reviews themselves. The Lead Behavioral Health Medical Director may also lead ... modeling, best practice with behavioral health membership..
... Information Humana Nationwide Associate Director, Utilization Management Nursing in Riverton Wyoming Description ... Wyoming Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The..
... Humana CMO - Regional VP, Health Services - Intermountain Region in ... Wyoming Description The Regional VP, Health Services relies on medical background ... on medical background and reviews..
