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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,..
... 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 Manager, Utilization Management RN - Remote in Boston Massachusetts Description The ... in Boston Massachusetts Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or..
... Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Boston Massachusetts Description ... Boston Massachusetts Description The Risk Management Professional 2 identifies and..
... 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)..
... 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 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..
... 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 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..
... 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 Telephonic Care Manager in Boston Massachusetts Description The ... Massachusetts Description The Telephonic Care Manager will be part of the ... of the Humana Military Case 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..
... Advice Line Telephonic Nurse - RN Compact License States Only in ... Boston Massachusetts Description The Care Manager, Telephonic Nurse 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 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 ..
Job Information Humana Director, Behavioral Health Strategy in Boston Massachusetts Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..
... 2 contributes to administration of utilization management. The UM Administration Coordinator 2 ... on semi-routine assignments. Responsibilities Location: Remote The Specialist contributes to the ... clinical follow-up to appropriate..
Description The Remote Systems Clinical Pharmacist will provide ... relationships with Account / Clinical Management and PCO-IPU Operations teams. Responsibilities ... PCO-IPU Operations teams. Responsibilities Location: Remote USA, preferred East..
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..
... Advice Line Telephonic Nurse - Remote- RN Compact License States Only in ... Boston Massachusetts Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The..
