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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... you succeed, we succeed! The..
Description Responsibilities The Telephonic Care Manager will be part of the ... of the Humana Military Care Management team; providing a comprehensive, holistic ... comprehensive, holistic approach for Disease Management..
Job Information Centerwell RN Case Manager, Home Health Full Time-4 day ... a Home Health RN Case Manager , you will: Provide admission, ... you will: Provide admission, case management,..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific ... schedules and goals. Responsibilities..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Charlotte ... Description Job Description Summary The Manager, Care Management leads teams of social work ... contributing to the multi-disciplinary..
Description The Manager, Care Management leads teams of nurses and ... health professionals responsible for care management. The Manager, Care Management works within specific guidelines and ... is committed to..
... Vice President, Home Care Product Management for the Value-Based Division of ... the AVP, Home Care Product Management will partner across the enterprise ... the organizational competencies of product..
... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... of the Humana Military Care..
... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... for supporting and driving FMS quality standards through meeting all ESRD ... requirements and the practice of..
Description The Supervisor, Care Management Support contributes to administration of ... contributes to administration of care management. Provides non-clinical support to the ... of members. The Supervisor, Care Management Support..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Charlotte North Carolina Description ... Healthy Horizons is seeking a Quality Improvement Program..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Charlotte ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... Member Plan (EFMP), auditing for quality..
... Kindred at Home RN Clinical Manager in Gastonia North Carolina The ... Gastonia North Carolina The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
Job Information Humana Technical Product Manager - Remote in Charlotte North ... Carolina Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... into the marketplace..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... Charlotte North Carolina Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
... Information Centerwell Registered Nurse Case Manager PRN in Charlotte North Carolina ... you will: Provide admission, case management, and follow-up skilled nursing visits ... Administer on-going care and case..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... Member Plan (EFMP), auditing for quality and clinical compliance, and case ... and clinical compliance, and case management. Serve..
... Kindred at Home RN Clinical Manager - Gastonia, NC in Gastonia ... Gastonia North Carolina The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
Description The Vendor Quality Medical Director will manage clinical ... Director will manage clinical vendor quality outcomes for Humana Clinical Operations ... Director to manage clinical vendor quality outcomes for..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... Government. Responsibilities The Telephonic Care Manager will..
... and possible participation in care management. The clinical scenarios predominantly arise ... health, or disease or care management. Medical Directors support Humana values, ... participating in teams focusing on..