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... appropriate Identify members for specific case management and/or disease management activities or interventions by utilizing ... degree Experience working in Utilization Management within last 2 years Experience ... last..
Description The Behavioral Health Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..
... titled Care Managers, because our case management services are centered on the ... Previous adult chronic conditions care management. Previous experience in care management. Knowledge of complex care management..
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... and monitoring and evaluating the case management plan against the member's personal ... experience. Previous experience with electronic case note documentation and experience with ... diversion or long term..
... MTF CMs. Perform telephonic care management with beneficiaries throughout the East ... support groups Participate in care management and coordination of services in ... manner in accordance with Medical..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..
... Care Manager for our Complex Case Management Program. The Care Manager employs ... clinical program design, implementation, and management, monitoring and reporting. Comply with ... in an eNLC state..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care Manager, ..
Job Information Humana Senior Market Development Professional-RN-WAH Nationwide in Portland Maine Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, ..
... Care Manager for our Complex Case Management Program. The Care Manager employs ... clinical program design, implementation, and management, monitoring and reporting. Comply with ... telephonic triage experience Experience..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in Portland Maine Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
