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... and maintain significant relationships with Nursing leaders and other HCP staff ... and regularly communicate with Associate Director-CNC, field-based sales colleagues and District ... Education/Credentials Required: Bachelor's Degree in..
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... understand care requirements. Uses the nursing process as a framework to ... diagnoses and discharge plan; Identifying nursing care needs, writing nursing interventions and identifying educational objectives ... and..
Calling all CHHAs! Don’t be a “caregiver”, step up to be a “Care Partner” with Applause Home Care! Work in a nourishing environment that requires you not only to “give care”, ..
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 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 ..
Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Jersey City New Jersey Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Jersey City New Jersey ... New Jersey Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
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..
... operated. POSITION SUMMARY Performs skilled nursing functions in accordance with the ... REPORTS TO: Clinical Supervisor / Director of Clinical Services QUALIFICATIONS Graduate ... an accredited school of professional..
Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
... treatments in collaboration with the Director. Plans, coordinates and acts as ... policies, and confers with the Director and Human Resources regarding the ... Staff By-Laws. Responsible for strong..
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 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, ..