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Utilization Review Nurse chicago, IL \ ... IL \ Position Description: The Utilization Review Nurse Specialist will be ... to client. Appropriate completion of remote utilization review (Targeted Volume of..
... 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..
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..
Job Information Humana Telephonic Care Manager in Chicago Illinois Description The ... Illinois Description The Telephonic Care Manager will be part of the ... of the Humana Military Case Management..
... 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..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... Pricing Committee, Legal, Implementation, Account Management, Sales and other team members ... to ensure successful implementation. Location:..
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..
... 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)..
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 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 ..
... of experience in Accreditation, Quality Management, Compliance, Utilization Management, Behavioral Health, and/or Case Management Exceptional analytical and critical thinking ... to detail Demonstrated excellent time management skills with proven..
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...
Job Information Humana Manager, Care Management (Illinois Medicaid) - The Greater ... in Chicago Illinois Description The Manager, Care Management leads teams of nurses and ... health professionals responsible for..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... is responsible for client cost management and satisfaction. The Clinical Liaison ... related to medication cost and..
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..
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,..
... 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..
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..
... Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Chicago Illinois Description ... Chicago Illinois Description The Risk Management Professional 2 identifies and..
Job Information Humana Manager, Utilization Management RN - Remote in Chicago Illinois Description The ... in Chicago Illinois Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or..
