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Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
OverviewAre you a Wellness Director - Looking for next step in your career?Or, are you a Nurse Supervisor? We'll teach you Assisted Living!Salary: $68,100 to $113.700.Make Lives Better Including Your Own.Relationships ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
**Medical Affairs Program Manager Patient Monitoring Remote within the ... U.S.** This Medical Affairs Program Manager (MAPM) position has three main ... others to create and drive project action plans,..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Senior Project Manager -- Remote in Colorado Springs ... Springs Colorado Description The Senior Project Manager manages all aspects of a ... manages all aspects of a..
Job Information Humana UM Medical Director - Conviva in Colorado Springs Colorado Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
... Deadline: April 25, 2022 Title Manager State Grassroots Advocacy Academy of ... nutrition professionals, is seeking a Manager, State Grassroots Advocacy in our ... collaborate with Federal Grassroots Advocacy..
... provider experience, as well as project manage the market rollout end-to-end. ... Medicaid markets Create and manage project plans to ensure effective and ... and timelines for provider services..
