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Description The Director, Health Services utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding ..
Job Information Humana (RN)Associate Director, Care Management - Oklahoma City, OK in Tulsa Oklahoma Description The Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... variable factors. Responsibilities Job Title:..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
... license' 2 years experience in medical case management or care coordination Comprehensive ... experiences Previous experience with electronic case note documentation and experienced with ... Preferred Qualifications Bi-Lingual (English/Spanish)..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Description The Care Guide (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate ..
Description The Large Group Medical Underwriter computes rates for both ... Responsibilities As a Large Group Medical Underwriter you will make the ... the product. The Large Group Medical Underwriter..
Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... self-care to enhance quality of medical..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... quality and clinical compliance, and case management. Serve as a Humana ... necessary record components and requests medical records...
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The RN Care Manager, Telephonic Nurse..
Job Information Humana Field Care Manager, Behavioral Health - Tulsa, OK ... Oklahoma Description The Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses and evaluates ... of..
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..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. Complete telephonic and/or ... Coordinates with Care Coordination and..
... RN, Mom's First Field Care Manager (Mom's First/Maternity) assesses and evaluates ... RN, Mom's First Field Care Manager (Mom's First/Maternity) work assignments are ... RN, Mom's First Field Care..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... schedules and goals. Responsibilities The Manager, Care Management oversees..
Description The Manager, Utilization Management (Behavioral Health) utilizes ... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... and/or benefit administration determinations. The Manager, Utilization Management (Behavioral..
... Information Humana RN, Field Care Manager Nurse 2 - Tulsa, OK ... Description The RN, Field Care Manager Nurse 2 (Care Manager, Physical Health) assesses and evaluates ... members...
