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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and .....
... The Chief Medical Officer, Group Medicare relies on the medical background ... clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding of .....
Job Information Humana Manager, Utilization Management RN - Remote in Cincinnati ... in Cincinnati Ohio Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, .....
... case findings. Educates providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical management systems. Understands own work area ... (2) or..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Cincinnati Ohio Description The ... in Cincinnati Ohio Description The Manager, Utilization Management Nursing utilizes clinical nursing skills..
Description The Associate Director, Utilization Management Nursing uses clinical knowledge, communication skills, ... retrospective reviews, and any additional utilization management functions. Coordinates with the Clinical ... Leadership team to ensure..
Description The 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 ... operations..
... Healthy Horizons is seekign a Utilization Management Nurse 2 who utilizes clinical ... Nurse 2 who utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations...
... innovative new standard for care management. We're going beyond counseling services ... Field Based Behavioral Health Case Manager, you’ll wear many hats, and ... 50% Travel. Primary Responsibilities: Visit..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing works within thorough, prescribed guidelines ... solve basic problems; collaborates with management and..
... Reviews inventory reports and assists management with data tracking to identify ... case findings Educates providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Ohio Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..
