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... leading the Centralized Outpatient Utilization Management operations team; Providing Clinical subject ... operational support tools, including Workforce Management planning and consultation with market ... and process opportunities; Developing Clinical..
... (both tech-enabled and telephonic) care management, chronic disease management and care at points of ... practices Oversees the hiring and management of a team of nurses ... and leading..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... we succeed! The Manager, Utilization Management Nursing..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
... Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Atlanta Georgia Description ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care..
... directly to the National Medicaid Quality Director, and be responsible for ... operating model for Behavioral Health Quality, and its integration with Physical ... its integration with Physical Health..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... a Compact State The Utilization Management Behavioral Health..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for ... without direction. Responsibilities Senior Pre-Authorization Nurse: Serves as a team lead ... Reviews inventory reports and assists management with..
Job Information Kindred at Home RN Admissions Home Health Full Time ... Maintains focus on all healthcare quality and affordability initiatives (HCQAI’s). Established ... year experience in a clinical management..
Job Information Kindred at Home RN Clinical Manager- Offering $10,000 Sign-on ... effective performance and delivery of quality home care services, and is ... efficiency, the efficacy of case management..
Job Information Kindred at Home RN Clinical Manager in Sandy Springs ... effective performance and delivery of quality home care services, and is ... efficiency, the efficacy of case management..
... direct supervision of a licensed nurse in accordance with organization policies, ... the organization commitment to the Quality Enhancement Program (QEP) and CQI ... patients will achieve the organization..
... of the Humana Military Case Management team; providing a comprehensive, holistic ... approach for Behavioral Health Case Management throughout the continuum of care. ... for self-care to enhance their..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and ... during the interview. The Utilization Management Behavioral Health Nurse completes medical record..
Job Information Centerwell RN Clinical Manager Home Health Full ... effective performance and delivery of quality home care services, and is ... efficiency, the efficacy of case management system as..
... Information Centerwell Home Health Admissions RN in Stockbridge Georgia The Clinical ... Maintains focus on all healthcare quality and affordability initiatives (HCQAI’s). Established ... year experience in a clinical..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... Georgia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management..
Job Information Centerwell RN Clinical Manager in Decatur Georgia ... effective performance and delivery of quality home care services, and is ... efficiency, the efficacy of case management system as..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Atlanta Georgia Description ... Georgia Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... of the Humana Military Care Management team; providing a comprehensive approach ... approach for post discharge care..
