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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..
... 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 Manager, Utilization Management Nursing - Medicare / Medicaid ... in Ridgeland Mississippi Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
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..
... 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 Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Ridgeland Mississippi Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
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 Centerwell RN Clinical Manager in Carthage Mississippi The Clinical ... in Carthage Mississippi The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of quality..
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..
Job Information Centerwell RN Clinical Manager in Meridian Mississippi The Clinical ... in Meridian Mississippi The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of quality..
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 Centerwell RN Clinical Manager in Tupelo Mississippi The Clinical ... in Tupelo Mississippi The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of quality..
... Kindred at Home RN Clinical Manager in Union Mississippi The Clinical ... in Union Mississippi The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Ridgeland ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... Member Plan (EFMP), auditing for quality..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Ridgeland ... Description Job Description Summary The Manager, Care Management leads teams of social work ... contributing to the multi-disciplinary..
... 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..
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 Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Ridgeland Mississippi 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..