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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 ..
Description The Clinical Strategy & Practice Lead will oversee our behavioral health (BH) clinical program for Oklahoma's Medicaid plan enrollees. They will collaborate closely with the Health Services Director and RVP, ..
Description The Medicaid Oklahoma Pharmacy Director monitors drug development pipeline, and ... monitors drug development pipeline, and medical literature, while providing clinical support ... health outcomes. The Medicaid Pharmacy Director..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..
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 ..
Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..
Job Information Humana (RN)Associate Director, Care Management - Oklahoma City, ... Tulsa Oklahoma Description The Associate Director, Care Management leads teams of ... for care management. The Associate Director, Care..
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 Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... benefit administration determinations. The Associate Director, Utilization Management..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities Job..
Job Information Humana Utilization Management Behavioral Health Professional 2 - Remote, Oklahoma in Tulsa Oklahoma Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ..
Description The Vendor Quality Medical Director will manage clinical vendor quality ... Team. Responsibilities A full time Medical Director to manage clinical vendor quality ... to review quality audit findings,..
... Summary The Medicaid Oklahoma Pharmacy Director monitors drug development pipeline, and ... monitors drug development pipeline, and medical literature, while providing clinical support ... health outcomes. The Medicaid Pharmacy..