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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 ... you succeed, we succeed! The..
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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..
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,..
... 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 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..
... 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 Phoenix Arizona Description The ... in Phoenix Arizona Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or..
Job Information Humana Weekend Shift- RN Utilization Management Behavioral Health Nurse 2 - ... in Phoenix Arizona Description The Utilization Management Behavioral Health Nurse 2 utilizes ... and/or benefit administration..
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 RN-Care Manager, Behavioral Health-RN in an eNLC state required ... Phoenix Arizona Description The Care Manager, Telephonic Behavioral Health 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)..
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 ..
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 Utilization Management Behavioral Health Professional 2 utilizes ... communication of medical services. The Utilization Management Behavioral Health Professional 2 work ... courses of action. Responsibilities Location: Remote however..
... 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..
... Advice Line Telephonic Nurse - RN Compact License States Only in ... Phoenix Arizona Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care..
... Advice Line Telephonic Nurse - Remote- RN Compact License States Only in ... Phoenix Arizona 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 Phoenix Arizona Description The ... Arizona 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..
... Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Phoenix Arizona Description ... Phoenix Arizona Description The Risk Management Professional 2 identifies and..
