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... 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..
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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 Ridgeland Mississippi Description ... Ridgeland Mississippi Description The Risk Management Professional 2 identifies and..
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 ..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC state required ... Ridgeland Mississippi Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care..
... 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 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..
... Advice Line Telephonic Nurse - RN Compact License States Only in ... Ridgeland Mississippi Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care..
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 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..
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..
... 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:..
Job Information Humana Manager, Utilization Management RN - Remote in Ridgeland Mississippi Description The ... in Ridgeland Mississippi Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or..
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 ..
... 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)..
... Advice Line Telephonic Nurse - Remote- RN Compact License States Only in ... Ridgeland Mississippi 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 .....
Job Information Humana Telephonic Care Manager in Ridgeland Mississippi Description The ... Mississippi Description The Telephonic Care Manager will be part of the ... of the Humana Military Case Management..
