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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 .....
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Job Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio Description The Associate Director, Compliance ... Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding of .....
... 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...
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the ... in the US) in Cincinnati Ohio Description The Supervisor, Pre-Authorization Nursing will be managing the team..
... 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 ... live in..
... requested services. Educate providers on utilization and medical management processes. Begins to influence department's ... the following: Bachelor's degree in Nursing with a minimum of 3 ... health setting..
Job Information Humana Manager, Utilization Management RN - Remote in Cincinnati Ohio Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... and/or benefit administration..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments are..
Description The Senior Nursing Educator plans, directs, coordinates, evaluates, ... and education programs for professional nursing personnel. The Senior Nursing Educator work assignments involve moderately ... variable factors. Responsibilities The..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... courses of action. Responsibilities The Utilization Management..
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..
Job Information Humana Manager, Utilization Management Nursing (Ohio Medicaid) - Remote, Ohio in Cincinnati Ohio Description Humana Healthy Horizons in ... Description Humana Healthy Horizons in Ohio is seeking a..
Job Information Humana Manager, Utilization Management (Behavioral Health) - Remote, OH in Cincinnati Ohio Description Humana Healthy Horizons in ... Description Humana Healthy Horizons in Ohio is seeking a Manager,..
... provides strategic leadership for Humana's Ohio Medicaid Quality Program, in alignment with ... responsibility to operate a quality management infrastructure which promotes member safety, ... Oversee the development, implementation..
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 ... day..
... Behavioral Health Strategy in Cincinnati Ohio Description The Director, Behavioral Health ... overseeing clinical integrity, especially for utilization and case management activities. This includes developing measurable ... and ongoing..
