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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..
Job Information Humana Medical Director - Texas in Tulsa Oklahoma Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..
Job Information Humana Medical Director - S. Florida in Tulsa Oklahoma Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
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 ..
... 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..
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..
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..
... 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..
... 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 shaping the necessary tech-enabled services to deliver on that experience ... to help shape the technology-enabled services we will build together to ... and shaping the necessary tech-enabled..
... 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..
... decisions about the appropriateness of services provided by other healthcare professionals ... 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..