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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 ..
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..
... of the nation's largest healthcare management companies. The GW School of ... is to provide the highest quality healthcare, advanced medical technology, and ... SUMMARY Responsible for the operational..
Job Information Humana Technical Product Manager - Remote in Washington District ... Columbia Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... into the marketplace..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Of Columbia Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Washington District Of Columbia ... Healthy Horizons is seeking a Quality Improvement Program..
HSCPC Case Manager (PRN) Day (8:30a to 5:00p ... HSC Pediatric Center (HSCPC) Case Manager oversees patients' progression through the ... referral/admission through discharge. The Case Manager actively coordinates the..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Washington ... Description Job Description Summary The Manager, Care Management leads teams of social work ... contributing to the multi-disciplinary..
Job Information Humana Manager of Fraud and Abuse Data ... Of Columbia Description Responsibilities The Manager of Fraud and Abuse Data ... team with responsibility for the quality and content..
... Provides support to the Nurse Manager for the managerial and leadership ... Plus Get With The Guidelines(r)-Stroke Quality Achievement Award for our commitment ... this recognition, hospitals must meet..
Description The Case Manager Hybrid I/II will provide case ... Hybrid I/II will provide case management services to patients and their ... (Required) Current certification in Case Management or Utilization..
... August 2022) The RN Case Manager is responsible for the assessment, ... and the principles of case management to coordinate and implement a ... the continuum. The RN Case..
... is now available within Case Management at a facility in Washington ... their employees! Striving to provide quality health care to everyone, this ... facility will not disappoint!The Case..
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..
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..
Description The RN Case Management Process Advisor also known as ... also known as a Case Management Liaison (CML) will oversee the ... civilian providers. The RN Case Management Process..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... District Of Columbia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
... role PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer support ... ongoing customer support and case management for Fresenius Kidney Care (FKC) ... coordination, education and other case..
... 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 Washington ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... Member Plan (EFMP), auditing for quality..
