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... Member Plan (EFMP). Auditing for quality and clinical compliance, and case ... and clinical compliance, and case management. Serve as a Humana Military ... Professional Counselor (LPC), Psychologist (PhD),..
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..
... / Clerical (197) Advanced Practice Registered Nurses / Physician Assistants (340) ... (80) Operations (255) Physicians/Surgeons (1359) Quality/Risk Management (18) Type Contract (1) Fellowship ... Specialists Lake Barrington, Illinois..
... 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 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..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Dover Delaware Description ... Delaware Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
... Nursing Support (144) Operations (311) Quality/Risk Management (20) Type Contract (0) Fellowship ... Newark, Delaware NEW! NEW! Assistant Nurse Manager Emergency Oviedo FT Nights ... Hospital Washington, D.C. NEW!..
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..
... health nursing services and case management processes according to the assigned ... per physician orders that ensures quality, proper discharge planning and achieves ... desired outcomes. Provides clinical episode..
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..
... 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..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... Delaware Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management..
... / Clerical (188) Advanced Practice Registered Nurses / Physician Assistants (339) ... (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship ... ChristianaCare Smyrna, Delaware NEW!..
... / Clerical (188) Advanced Practice Registered Nurses / Physician Assistants (339) ... (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship ... Please wait. Interventional Lab..
... / Clerical (197) Advanced Practice Registered Nurses / Physician Assistants (340) ... (80) Operations (255) Physicians/Surgeons (1359) Quality/Risk Management (18) Type Contract (1) Fellowship ... Newark, Delaware NEW! NEW!..
... 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..
... Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Dover Delaware Description ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care..
