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Description The Director, Health Services utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The ... administration determinations. The Director, Health..
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Description The Director of Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, ... documentation and communication of medical services and/or benefit administration determinations. The..
... their health partners. Humana's Enterprise Clinical Operating Model (ECOM), is a ... outcomes through better integrating Humana's clinical capabilities, processes, and technology. This ... across Humana Responsibilities The Director,..
... With at least three in clinical nursing. At least one year ... Resources for Patients Conduct timely clinical reviews drawing upon appropriate resources ... Coordinates Authorization for Reimbursement Provide..
Full-Time/Regular REGISTERED NURSE - Risk Manager INTRODUCTION The ICE Health Services Corps (IHSC) exists within the ... together to provide quality healthcare services. IHSC serves as the medical ... and..
... Hospital has the resources and clinical expertise necessary to provide specialized, ... a subsidiary of Universal Health Services, Inc. (UHS), one of the ... respected hospital companies, Universal Health..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... District Of Columbia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... documentation and communication..
... August 2022) The RN Case Manager is responsible for the assessment, ... from admission to post-discharge. Utilizes clinical knowledge, critical thinking skills, and ... the continuum. The RN Case..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Washington ... Of Columbia Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager,..
Job Information Humana Manager, Utilization Management RN - Remote ... District Of Columbia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... documentation and communication..
Description The Care Manager, Telephonic Nurse Assistant 2 receives ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is ... NAL employees assistants that are non-clinical and nurses..
... Discharge Call (PDC) Telephonic Care Manager will be part of the ... interaction with beneficiaries to address clinical conditions identified through Predictive Analytics ... the beneficiary. The PDC Care..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH ... Of Columbia Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Of Columbia Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
... managing and evaluating unit based clinical care and ensuring that continuity ... mix and staffing levels using manager or clinical coordinator for complex issues. Function ... planning patient discharge..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
RN Operating Room Clinical Coordinator','230000WK','!*! The Operating Room Clinical Coordinator is responsible for initiating ... that maximize quality, safety, and services in defined perioperative specialties. They ... and serves as..
... physicians and other healthcare professionals. Services are generally provided telephonically but ... PRINCIPAL DUTIES AND RESPONSIBILITIES: Utilizes clinical judgment, independent analysis, critical thinking ... company, department, program policies and..
Description The Case Manager Hybrid I/II will provide case ... I/II will provide case management services to patients and their families ... ensure follow-up and coordination of services. Engage in..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
HSCPC Case Manager (PRN) Day (8:30a to 5:00p ... HSC Pediatric Center (HSCPC) Case Manager oversees patients' progression through the ... referral/admission through discharge. The Case Manager actively coordinates the..