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Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration determinations. The Manager, Utilization Management Nursing..
... to make determinations whether requested services, requested level of care, and/or ... and appeals processes, and outpatient services and equipment, within their scope. ... medical interpretation and determinations whether..
... of behavioral and physical health services, including utilization management (UM), quality ... development of new products and services in Humana's Medicaid BH delivery ... management components of Humana's BH..
... and reviews preauthorization requests for services. The Medical Director work assignments ... medical interpretation and determinations whether services provided by other healthcare professionals ... medical interpretation and determinations whether..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... OKC is seeking a Case Manager to join our Behavioral Health ... in the selection list Case Manager II Certification - Oklahoma Department ... Mental Health and Substance Abuse..
Job Information Humana Manager, Utilization Management RN - Remote ... in Tulsa Oklahoma Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit..
... to make determinations whether requested services, requested level of care, and/or ... and appeals processes, and outpatient services and equipment, within their scope. ... and/or home health or post-acute..
... to make determinations whether requested services, requested level of care, and/or ... medical interpretation and determinations whether services provided by other healthcare professionals ... and the Regional VP Health..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... in Tulsa Oklahoma Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit..
OverviewnOrthopaedic & Neurological Rehabilitation, Inc. (ONR) is a therapist-owned ... community providing on-site outpatient therapy services through ONR's TOUCH Rehab Program. ... ONR's TOUCH program provides outpatient rehabilitation services and..