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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 ..
... seeking an Associate Director, Care Management who will lead teams of ... health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of .....
... seeking an Associate Director, Care Management leads teams of nurses and ... health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of .....
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 Senior Care Manager, Behavioral Health (BCBA) in Tampa ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... Member Plan (EFMP), auditing for quality..
... 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..
Description The Care Manager, Telephonic Nurse 2 employs a ... Care Managers, because our case management services are centered on the ... managers are responsible for meeting quality and productivity..
Description The Associate Director, Quality Assurance for Humana/Your Home Advantage ... programs to establish and maintain quality standards of existing products and ... Wellness Assessments. The Associate Director, Quality Assurance..
... Humana RN, Associate Director, Utilization Management (Long Term Care) in Plant ... RN, Associate Director of Utilization Management for Long Term Care who ... RN, Associate Director of Utilization..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Tampa ... 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..
... 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..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... in Tampa Florida Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
... is seeking an Associate Director, Quality Compliance Nursing that works with ... highest accountability of compliance and quality. The Associate Director, Quality Compliance Nursing requires a solid ... Company!..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Tampa Florida Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
... position with responsibility for utilization management oversight and clinical decision-making as ... section 4. Responsibilities The UM Manager will lead a team of ... it specifically relates to Utilization..
