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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 ... you succeed, we..
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
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..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... in Dover Delaware Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Dover Delaware Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
... health nursing services and case management processes according to the assigned ... per physician orders that ensures quality, proper discharge planning and achieves ... desired outcomes. Provides clinical episode..
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..
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..
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 Technical Product Manager - Remote in Dover Delaware ... Delaware Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... into the marketplace..
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..
... 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..
Description The Manager, STARS Improvement develops, implements, and ... Stars improvement team. Responsibilities The Manager, STARS Improvement develops the programs ... designed to increase the plan quality and partners with..
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 Dover ... Description Job Description Summary The Manager, Care Management leads teams of social work ... contributing to the multi-disciplinary..
... 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..
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..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Dover ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... Member Plan (EFMP), auditing for quality..
... 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..
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..
