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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, 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 ..
... 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 CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... of the position is the management and administration of all aspects ... a clinical caseload.The Rehabilitation Program Manager will understand and fulfill the ... fiscal integrity. The Rehabilitation Program..
n nn n POSITION SUMMARY: The Registered Nurse (RN) is an experienced registered professional nurse who initiates and coordinates the care plan, provides skilled and palliative care and coordinates the services ..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Phoenix ... Description Job Description Summary The Manager, Care Management leads teams of social work ... contributing to the multi-disciplinary..
... 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, 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..
... Kindred at Home RN Case Manager, Home Health Full Time in ... a Home Health RN Case Manager , you will: Provide admission, ... you will: Provide admission, case..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... in Phoenix Arizona 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 Phoenix Arizona Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
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..
... SCOPE: Manages the provision of quality patient care in an independent ... Collaborates with the Business Unit management team to grow the assigned ... costs, operational methods, growth, and..
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 Responsibilities Senior Care Manager, Behavioral Health (BCBA) This is ... position with responsibility for utilization management and clinical decision-making as outlined ... clinical information in various medical management systems...
... such as unbilled accounts receivable, quality and timeliness of clinical coding ... other leaders to establish coding quality, productivity and best practices. Monitors ... practices. Monitors goals, productivity and..
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 Manager, Care Management, CenterWell Las Vegas, Phoenix and ... is committed to providing personalized, high-quality primary care combined with an ... in both the treatment and management..
