Manager Utilization Management Nursing Medicare Medicaid Jobs in District Of Columbia

... the strategic leader in resource utilization; budget and MER oversight; vendor ... Corporate Finance; Senior leaders of Medicare, Medicaid and Commercial products; HCO leadership; ... Required Qualifications Bachelor's Degree..

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 Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Columbia Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..

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 .....

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..

Job Information Humana Manager, Utilization Management RN - Remote in Washington ... District Of Columbia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, .....

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Washington District Of Columbia ... District Of Columbia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills..

... 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..