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RN-Utilization Review','Full-time','RN','7am','7am','80','80','Occasional','Occasional','KENTUCKY-LEXINGTON-SAINT JOSEPH EAST','','!*!Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, ..
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Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title: Medical Director Location: Work..
Description Location: Work from Home KY Medicaid Medical Director - The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
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 Your Home Advantage (YHA) is a Humana-owned ... Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving ... physician's office and the member's home. YHA provides prospective..
... Humana is a Fortune 60 healthcare company with a history of ... services, such as Primary Care, Home Care, and Pharmacy. Humana is ... top place to work in..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a ... that report to this Associate director will assist in identifying 'NEW' ... those areas. As the Associate Director, you..
... Information Humana Care Team Medical Director in Louisville Kentucky Description The ... Description The Care Team Medical Director is responsible for improving the ... up. The Care Team Medical..
Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, you will ..
... and action thresholds. Oversees facility’s Home Therapies Program if applicable. Accountable ... treatments in collaboration with the Director. Plans, coordinates and acts as ... policies, and confers with the..
Description The Director, Product Management leads or coordinates ... ready for customer use. The Director, Product Management requires an in-depth ... the Product & Business Development Director of Humana's Group..
... acumen to solve for the healthcare challenges of today. The Clinical ... Title : Clinical Trend Medical Director Assignment: Enterprise Clinical Management, Clinical ... Louisville, KY or Work At..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
Description The Associate Director, Quality Assurance for Humana/Your Home Advantage (YHA) develops and implements ... and services pertaining to In Home Wellness Assessments. The Associate Director, Quality Assurance requires a..
Description This marketing professional is responsible for the implementation of marketing strategies, campaigns and programs for Humana's Care Delivery Organization supporting CenterWell Senior Primary Care. Solid marketing technical mastery, strategic thinking, ..
Description The Medical Director actively uses their medical background, ... work. Responsibilities Title: Commercial Medical Director Location: Work At Home - any state Schedule: 40 ... weeks. Job Summary The..
Description Responsibilities The Associate Director for ACD Audit , at ... ACD Audit , at the director of the Director of Payment Integrity, will create ... optimizing operational processes. The..
Description The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates transplant members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..
