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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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Looking for superhero personnel! Provides personal care services under the direction of Administrator, Employee Care Manager, Client Care Manager, Intake Specialist and COO. Performs services for the clients as necessary to ..
... interact with all levels of nursing and other departments to assure ... work volumes* Able to use nursing experience and judgment to anticipate ... the member's physician and medical..
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 Information Humana Medicaid Associate Director, Compliance Nursing in San Antonio Texas Description ... Antonio Texas Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
Hiring Superhero Personnel! General Description Provides personal care services under the direction of Administrator, Employee Care Manager, Client Care Manager, Intake Specialist and COO. Performs services for the clients as necessary ..
Description Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. Consumers expect more personalized and holistic experiences from their health partners. Humana's Enterprise Clinical Operating ..
Description Responsibilities The Senior Clinical Insights Professional delivers clinical policy insight and information to both internal and external customers for Humana Government Business (HGB). The Senior Clinical Insights Professional will draft ..
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 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 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, ..
... interact with all levels of nursing and other departments to assure ... work volumes Able to use nursing experience and judgment to anticipate ... the member's physician and medical..
Description We help doctors do what they do best while engaging patients in their care. At Conviva Care Solutions we recognize the need to simplify population health management for the people ..