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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 ..
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... restore patients' health through direct nursing care to assigned patients within ... to assigned patients within the nursing process; collaborate with physicians and ... research into specialized areas of..
Nursing House Supervisor - PT 0.5 ... and resources. Actively participate in nursing strategic initiatives such as quality ... in conjunction with the unit director or designee with the plan..
... direct patient care utilizing the nursing process in the ambulatory setting ... setting under direction of the Director and Executive Director of Ambulatory Clinics and the ... Ambulatory Clinics..
Description The Senior Pharmacy Sales Executive leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana Pharmacy for fulfillment. The Senior Pharmacy Sales Executive ..
Description The Compliance Nurse 2 reviews medical management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Albuquerque New Mexico Description ... New Mexico Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
Nursing House Supervisor - PRN Department: ... and resources. Actively participate in nursing strategic initiatives such as quality ... in conjunction with the unit director or designee with the plan..
Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Albuquerque New Mexico Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand 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 ..
Job Description Always Best Care of Albuquerque-Rio Rancho, is a fast-growing Non-Medical Home Care Agency providing at home care to Seniors in the Albuqueruqe, Rio Rancho, Los Lunas areas. We are ..
Job ID 21000FKWAvailable Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..
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 ..
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, ..
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 ..
Job Information Humana Physician - CenterWell - Atlanta, GA in Albuquerque New Mexico Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care ..
RN Utilization Review - PRN 0.3 Department: Case Management Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope The Utilization Review Nurse performs utilization review of all patients presenting ..
Pharmacist - PRN Department: Pharmacy Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Consult with and educate physicians, other health professionals, patients and their families about drug usage, ..