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... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. Complete telephonic, faxed, ... Assess discharge plans Coordinates with..
Description The Associate Director, Care Management leads teams of nurses ... behavior health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding ... across department(s)...
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline ... external vendors and providers. The Director, Pharmacy Clinical Trend and Pipeline ... understanding of pharmacy and managed care to develop..
... vendors and providers. Responsibilities The Director, HPS Clinical Programs requires a ... broad understanding of pharmacy, managed care, and patient centered clinical programs ... broad understanding of pharmacy, managed..
Job Information Humana Oncology Market Director in Cincinnati Ohio Description The ... Cincinnati Ohio Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..
... to the Plan, between health care settings, and enrolled in OhioRISE ... closely with the Health Services Director and Chief Medical Officer to integrate the day-to-day ... transition of..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..