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... case findings. Educates providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical management systems. Understands department, segment, and ... without restrictions...
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 ... schedules and goals...
Description The RN Care Manager, Telephonic Nurse 2 (Obstetrics), works ... of members. The RN Care Manager, Telephonic Nurse 2 (Obstetrics) work ... action. Responsibilities The RN Care Manager, Telephonic..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... courses of..
... Conviva Care Solutions is a management services organization representing nearly 300 ... seeking a hard-working and dedicated Manager, Care Management who may lead and supervise ... associates onsite Previous..
... Director, Health Services utilizes clinical nursing skills to support the coordination, ... or segment. Responsibilities The SC Medicaid Director, uses clinical knowledge, communication ... (both tech-enabled and telephonic) care..
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 Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The Obstetrics Care Manager, Telephonic Nurse..
... process analysis and re-engineering, change management and measurement, and/or process-driven systems ... Health Plan experience 1 year Utilization Management or Prior Authorization experience a ... Authorization experience a plus..
Description The Manager, Pre-Authorization Nursing reviews prior authorization requests for ... to the appropriate stakeholder. The Manager, Pre-Authorization Nursing works within specific guidelines and ... schedules and goals. Responsibilities The..
Job Information Humana Associate Director Utilization Management in Tampa Florida Description Come ... looking for an Associate Director, Utilization Management to utilize clinical nursing skills to support the coordination, .....
... 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 Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... of care..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The RN Care Manager, Telephonic Nurse..
