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Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding ... delivery process. The Associate Director,..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... schedules and goals. Responsibilities The..
... Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... and quality performance and staffing management. Detailed Responsibilities include: Leads Medicaid ... Medicaid operational process and..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC state required ... Atlanta Georgia Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care..
Description The Utilization Management Behavioral Health Nurse 2 utilizes ... and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work ... courses of action. Responsibilities The Utilization Management..
... not be limited to, Care Management, Utilization Management, and/or Compliance. RN licensure is required at all ... Valid Unrestricted Registered Nurse License (RN) in home state and compact .....
Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..
Job Information Humana Weekend Shift- RN Utilization Management Behavioral Health Nurse 2 - ... in Atlanta Georgia Description The Utilization Management Behavioral Health Nurse 2 utilizes ... and/or benefit administration..
... Advice Line Telephonic Nurse - RN Compact License States Only in ... Atlanta Georgia Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care..
... not be limited to, Care Management, Utilization Management, and/or Compliance. Understands department, segment, ... established guidelines/procedures. Required Qualifications Unrestricted RN License. Three (3) years of ... License. Three (3)..
Job Information Humana Telephonic Care Manager in Atlanta Georgia Description The ... Georgia Description The Telephonic Care Manager will be part of the ... of the Humana Military Case Management..
... Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Atlanta Georgia Description ... Atlanta Georgia Description The Risk Management Professional 2 identifies and..
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..
... Advice Line Telephonic Nurse - Remote- RN Compact License States Only in ... Atlanta Georgia Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... you succeed, we succeed! The..
Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..
... Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the ... solve basic problems; collaborates with management and top professionals/specialists in selection ... reviews, provider education on the..
Job Information Humana Manager, Utilization Management RN - Remote in Atlanta Georgia Description The ... in Atlanta Georgia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or..
... leader for Humana Behavioral Health Utilization Management Inpatient services - including all ... financial stewardship Responsibilities The Director, Utilization Management Behavioral Health Nursing utilizes clinical ... benefit administration determinations...
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
