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Job Summary: The CNA provides personal care and related services in the home. She/he functions under the direction, instruction and supervision of the administrator and/or appropriate supervisor. Organizational Relationship: The CNA ..
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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 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 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 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 ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Boston Massachusetts Description The ... Boston Massachusetts Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
Bay Cove Human Services, Inc. a leading Massachusetts human services organization, seeks a Certified Nurse’s Aide- CNA who will provide direct care services to adults living in a Residential Program. The ..
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 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 ..