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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
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 Humana RN, Manager, Utilization Management Nursing in Metairie Louisiana Description ... Horizons is seeking a RN, Manager, Utilization Management Nursing who will utilize clinical ... and/or benefit administration..
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..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Metairie ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... Member Plan (EFMP), auditing for quality..
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 Technical Product Manager - Remote in Metairie Louisiana ... Louisiana 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 Metairie Louisiana Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
... 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 Manager, Utilization Management Nursing - Medicare / Medicaid ... in Metairie Louisiana Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
... 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..
... Louisiana is seeking a RN, Manager of Care Management to lead our Maternal-Child health ... lead our Maternal-Child health care management operations and staff for the ... Functions and..
... seeking RN Managers of Care Management who will lead our physical ... our physical health/behavioral health care management operations and staff to ensure ... Functions and Responsibilities: Supervise care..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Metairie ... Description Job Description Summary The Manager, Care Management leads teams of social work ... contributing to the multi-disciplinary..
... in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who will utilize ... and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health applies a Person-Centered ... Functions..
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 Director, Quality Improvement in Metairie Louisiana Description ... Metairie Louisiana Description The Director, Quality Improvement implements quality improvement programs for all lines ... and annual evaluation. The..
... 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 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 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..
