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To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations ..
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Description Responsibilities The Senior Clinical Insights Professional delivers clinical policy insight and information to both internal and external customers for Humana Government Business (HGB). The Senior Clinical Insights Professional will draft ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Job Information Humana Physician - CenterWell - Gastonia, NC in Gastonia North Carolina Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care ..
Job Information Humana Nurse Practitioner - CenterWell - Gastonia, NC in Gastonia North Carolina Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Charlotte North Carolina Description ... North Carolina Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Description The Field Care Manager NP 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 for ..
Description The Director, Health Services utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... function or segment. Responsibilities..
The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Verifies identity ..
Description Humana's National Medicaid Quality team is seeking a Market Consultant to be responsible for supporting individual Medicaid market quality teams and serving as the main relationship broker and liaison to ..
Description The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates transplant members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... benefit administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding of..
Description The Director, Health Services utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... segment. Responsibilities The SC..
