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... Associates Degree from a professional nursing program (required) BSN or current ... at an accredited school of Nursing (preferred) Licensure/Certifications: Current Registered Nurse ... Experience: 1 year of current..
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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..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Glen Allen Virginia Description ... Allen Virginia Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
Job Information Humana RN Telephonic Transplant Care Manager-WAH in Glen Allen Virginia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
Company Name: The Little Clinic Position Type: Employee FLSA Status: Exempt POSITION SUMMARY: Oversee the day to day operations of a retail clinic. Assist with new associate orientation, training and quality ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Job Information Humana Director, Behavioral Health Strategy in Glen Allen Virginia Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..
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 Associate Director, Quality Assurance for Humana/Your Home Advantage (YHA) develops and implements programs to establish and maintain quality standards of existing products and services pertaining to In Home Wellness ..
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..
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 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 Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
... the direction of the unit Nursing Leadership Team and the Director. Provide therapeutic and administrative services ... Associates Degree from a professional nursing program (required) BSN or current .....
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 ..
... Chief Behavioral Health Officer, Associate Director of Behavioral Health, Regional Medical ... of Behavioral Health, Regional Medical Director, PCP/Psychiatrist, interdisciplinary team and other ... Chief Behavioral Health Officer, Associate..
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 ..
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 Nationwide Associate Director, Utilization Management Nursing in Glen Allen Virginia Description ... Allen Virginia Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
