THE LARGEST COLLECTION OF JOBS ON EARTH
healthcare
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
... 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..
Sign In or Sign Up in seconds to view this job on EmploymentCrossing.
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..
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,..
... Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Green Bay Wisconsin ... Bay Wisconsin Description The Risk Management Professional 2 identifies and..
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 RN-Care Manager, Behavioral Health-RN in an eNLC state required ... Bay Wisconsin Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care..
Job Information Humana Weekend Shift- RN Utilization Management Behavioral Health Nurse 2 - ... Green Bay Wisconsin Description The Utilization Management Behavioral Health Nurse 2 utilizes ... and/or benefit administration..
... 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..
... 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..
Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... Humana is seeking a Care Manager, Telephonic Behavioral..
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 ..
... Advice Line Telephonic Nurse - RN Compact License States Only in ... Bay Wisconsin Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care..
... 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..
... Advice Line Telephonic Nurse - Remote- RN Compact License States Only in ... Bay Wisconsin Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The..
... 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 .....
... 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..
Job Information Humana Manager, Utilization Management RN - Remote in Green Bay Wisconsin Description ... Green Bay Wisconsin Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or..
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 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..
Job Information Humana Telephonic Care Manager in Green Bay Wisconsin Description ... Wisconsin Description The Telephonic Care Manager will be part of the ... of the Humana Military Case Management..
... 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)..
