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... position with responsibility for utilization management oversight and clinical decision-making as ... section 4. Responsibilities The UM Manager will lead a team of ... it specifically relates to Utilization..
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..
... an Associate Director, Medicaid Care Management who will lead teams of ... healthcare professionals responsible for care management for BadgerCare Plus and SSI ... The Associate Director, Medicaid Care..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... Green Bay Wisconsin Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
... an Associate Director, Medicare Care Management who will lead teams of ... healthcare professionals responsible for care management. The Associate Director, Medicare Care ... The Associate Director, Medicare Care..
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..
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..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Green ... Description Job Description Summary The Manager, Care Management leads teams of social work ... contributing to the multi-disciplinary..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Green ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... Member Plan (EFMP), auditing for quality..
Job Information Humana Technical Product Manager - Remote in Green Bay ... Wisconsin Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... into the marketplace..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Green Bay Wisconsin Description ... Healthy Horizons is seeking a Quality Improvement Program..
... 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..
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..
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..
... 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..
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..