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Description The Medicaid Oklahoma Pharmacy Director monitors drug development pipeline, and ... monitors drug development pipeline, and medical literature, while providing clinical support ... health outcomes. The Medicaid Pharmacy Director..
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... closely with the Health Services Director and RVP, Health Services (CMO) ... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... with Clinical Leaders to implement..
... Responsibilities Title : Clinical Trend Medical Director Assignment: Enterprise Clinical Management, Clinical ... Trend Location: Louisville, KY or Work At Home Assignment Capsule: Humana's ECM organization ... is seeking..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex to ... variable factors. Responsibilities..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... Management Behavioral Health Professional 2 work assignments are varied and frequently ... appropriate criteria to make a..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex to ... factors. Responsibilities Job..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex to ... of variable factors...
... Summary The Medicaid Oklahoma Pharmacy Director monitors drug development pipeline, and ... monitors drug development pipeline, and medical literature, while providing clinical support ... health outcomes. The Medicaid Pharmacy..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... Management Behavioral Health Professional 2 work assignments are varied and frequently ... courses of action. Responsibilities Location:..
Description The Vendor Quality Medical Director will manage clinical vendor quality ... Team. Responsibilities A full time Medical Director to manage clinical vendor quality ... to review quality audit findings,..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... The Utilization Management Nurse 2 work assignments are varied and frequently ... collaborated team of Nurses and..
Job Information Humana Associate Director, Utilization Management Nursing - Oklahoma ... City Oklahoma Description The Associate Director, Utilization Management Nursing uses clinical ... and consistent application of appropriate medical necessity..
Job Information Humana (RN)Associate Director, Care Management - Oklahoma City, ... Tulsa Oklahoma Description The Associate Director, Care Management leads teams of ... for care management. The Associate Director, Care..
... CGX and faxing to Humana Medical Directors for approval or denial ... within defined parameters to identify work expectations and quality standards, but ... or Cable modem for a..
... for performing clinical audits on medical record documentation for quality and ... support the submitted charges. Comprehensive medical records review will be conducted ... assigned by Supervisor, Manager and/or..
Description The Medical Director actively uses their medical background, experience, and judgement to ... service should be authorized. All work occurs within a context of ... context of regulatory compliance,..