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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..
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 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..
... 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..
... Information Centerwell Registered Nurse Case Manager Full Time in Colleton South ... a Home Health RN Case Manager , you will: Provide admission, ... you will: Provide admission, case..
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..
Job Information Humana Technical Product Manager - Remote in Lancaster South ... Carolina Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... into the marketplace..
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 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..
... 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 Senior Care Manager, Behavioral Health (BCBA) in Lancaster ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... Member Plan (EFMP), auditing for quality..
Job Information Centerwell RN Case Manager, Home Health Full Time in ... a Home Health RN Case Manager , you will: Provide admission, ... you will: Provide admission, case management,..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... Lancaster South Carolina Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
... technical resource for the Member Management Replacement Project leadership and team. ... ensuring that the legacy Medicaid Management Information System (MMIS) continues to ... with the Analysis and Testing..
Job Information Centerwell RN Clinical Manager in Columbia South Carolina The ... Columbia South Carolina The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of quality..
Job Information Centerwell RN Clinical Manager in Myrtle Beach South Carolina ... Beach South Carolina The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of quality..
... 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 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, Care Management Social Services-WAH Nationwide in Lancaster ... Description Job Description Summary The Manager, Care Management leads teams of social work ... contributing to the multi-disciplinary..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Lancaster South Carolina Description ... Healthy Horizons is seeking a Quality Improvement Program..
