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Description The Director of Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health ..
Description The Utilization Management Nurse uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Chicago Illinois Description The ... Chicago Illinois Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
Job Information Humana Director, Behavioral Health Strategy in Chicago Illinois Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..
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 ..
Immediate need for Interim Director of Nursing Join a Skilled Nursing Facility west of Chicago, IL and utilize your skills as an Interim DON! Illinois RN License and SNF Experience Required! ..
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 ..
... full-time, ongoing Assistant/Associate professor of nursing position. The successful candidate will ... launching a dynamic masters in nursing program that will include the ... direction of the MSN Program..
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 ..
... in conjunction with the Branch Director and Company Finance Department to ... Resources Department and the Executive Director/Director of Operations. Participates in the ... of emergency. Acts as Branch..
Join our CNA / HHA HEROES TEAM! IMMEDIATE PLACEMENT -- in-home care for male client, traumatic brain injury, who enjoys discussing sports and cooking, in English and some Polish. You will ..
Job Information Humana RN Telephonic Transplant Care Manager-WAH in Chicago Illinois Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to ..
Job Number: Job Posting: Closing Date: : : : : Organization:..
Department objectives are: to develop, implement, and oversee a pro-active claims and risk management program, ensuring a consistent and optimal approach in controlling loss experience, and minimizing indemnity and expense payments. ..
Immediate need for Interim Director of Nursing Join a Skilled Nursing Facility west of Chicago, IL and utilize your skills as an Interim DON! Illinois RN License and SNF Experience Required. ..
... the supervision of the Chief Nursing Officer, provides leadership and oversight ... Recognition Program® standards to promote nursing excellence, empowerment through shared governance, ... Serves as a liaison for..
... STATUS: Non-Exempt REPORTS TO: Assistant Director of Nursing & Nurse Manager GENERAL SUMMARY: ... resident/guest condition immediately to licensed nursing staff. 10. Documents services provided ... GED required. **..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Chicago Illinois Description The ... Chicago Illinois Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
Licensed Practical Nurse - (LPN) The Birches Assisted Living (1) OPENING: FULL TIME- 6:30A-3PM When you join The Birches, you join a Successful Aging Community. We believe that each one of ..
Description Responsibilities The Director, Health Services uses clinical knowledge, communication and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or ..
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 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 ..