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Job Information Humana Medicaid Associate Director, Compliance Nursing in Montpelier Vermont Description The ... Montpelier Vermont Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
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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..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Montpelier Vermont Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible for ..
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 Nationwide Associate Director, Utilization Management Nursing in Montpelier Vermont Description The ... Montpelier Vermont Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
Description This position is for Enclara Pharmacia, a Humana company. Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's largest ..
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 The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Montpelier Vermont Description As a company whose primary focus is on the well-being of its members, Humana is dedicated ..
Job Information Humana Director, Behavioral Health Strategy in Montpelier Vermont Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..
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 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 ..
... looking for a permanent RN Director overseeing Emergency Services. Department sees ... interviews now!Responsibilities of the Nurse Director-Emergency ServicesnnResponsible for the overall management ... operation of the Emergency Department.nThe..
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 ..
... difference.Join Genesis as a Unit Manager/Director - RN where your clinical ... greater autonomy. In your assigned nursing unit, you will support the ... unit, you will support the..
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 ..