Manager Quality Management Jobs in Maine

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..

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..

... responsibility for establishing the Care Management and Chronic Condition Management programs and services utilized across ... leading implementation of the Care Management model and Chronic Condition strategy ... Medicaid..

... Director, Problem, Incident and Event Management drives technical support teams to ... Director, Problem, Incident and Event Management requires a solid understanding of ... Director, Problem, Incident and Event..

... 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 Senior Care Manager, Behavioral Health (BCBA) in Portland ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... Member Plan (EFMP), auditing for quality..

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 Lead Product Manager - Healthcare API in Portland ... Maine Description The Lead Product Manager - Healthcare API (SME) as ... management3. Clinical care or utilization management..

Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..

... Humana Associate Director, Health Information Management in Portland Maine Description The ... The Associate Director, Health Information Management ensures data integrity and quality for our encounter submissions systems. .....

Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Portland ... Description Job Description Summary The Manager, Care Management leads teams of social work ... contributing to the multi-disciplinary..

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 Manager, Utilization Management Nursing - Medicare / Medicaid ... in Portland Maine Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...

Job Information Humana Technical Product Manager - Remote in Portland Maine ... Maine Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... into the marketplace..

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 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..

... 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 Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Portland Maine Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..

... 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..

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Portland Maine Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..

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 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..