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Description The 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 toward and ..
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Job Information Humana Manager, Behavioral Provider Contracting in Rogers Arkansas Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and facilities. Analyzes ..
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
Description The Associate VP, Product Management will lead, manage and direct the overall product strategy for Enclara Pharmacia. This includes all facets of Enclara's digital product offering, including managing the product ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Rogers Arkansas Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the ..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in Rogers Arkansas Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and ..
Description Humana's Care Delivery Organization (CDO) operates 158 primary care centers focused on senior care. It is within this mission that we leverage innovative technologies and excellent clinical care to improve ..
... Humana Medicaid Associate Director, Compliance Nursing in Rogers Arkansas Description The ... Description The Associate Director, Compliance Nursing reviews utilization management activities and ... abuse. The Associate Director, Compliance..
... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate Director, Utilization Management Nursing requires a solid understanding of ... The Associate..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
... work independently. REQUIREMENTS: Education: Registered Nursing RN degree from an accredited ... an accredited registered school of nursing or Vocational Rehabilitation Specialist is ... American Board of Occupational Health..
SUMMARY: This position is responsible for leading nurses within an assigned business unit through their day-to-day activities to ensure successful outcomes in the production environment. Responsibilities include: providing clinical guidance-to include ..
Description Reports directly to the Vice President, Medical Management Operations and serves as a member of the HGB Executive Committee. Leads functions related to HGB's Care Management programs to include predictive ..
Description Responsibilities The Your Home Advantage (YHA) Market Clinical Manager (MCM) will lead a team of Advanced Practice Provider (APP) Clinicians (ARNP and PA) responsible for member outreach with In-Home Wellness ..
