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... titled Care Managers, because our case management services are centered on the ... multidisciplinary team. All of our RN Care Managers are work at ... Previous adult chronic conditions..
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... Must Haves Licensed Registered Nurse (RN) in appropriate state with no ... experience Experience working in Utilization Management within last 2 years 3 ... to Have BSN Experience with..
Description The Manager, Care Management leads teams of nurses and ... health professionals responsible for care management. The Manager, Care Management works within specific guidelines and ... we succeed! The..
... Information Humana Senior Market Development Professional-RN-WAH Nationwide in Dover Delaware Description ... Required Qualifications Registered Nurse Utilization Management Experience Case Management Experience Advanced Excel Skills 5 ... 5 or..
... courses of action. Responsibilities The RN Care Manager, Telephonic Nurse 2 ... MTF CMs. Perform telephonic care management with beneficiaries throughout the East ... support groups Participate in care..
... home health nursing services and case management processes according to the assigned ... desired outcomes. Provides clinical episode management according to Amedisys' processes including ... are on service. Participates..
... needs and/or Substance Use Licensed RN in a compact state Intermediate ... with disabled population Experience with case management, discharge planning and patient education ... Interqual Managed care experience..
Description The Process Improvement Professional 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Professional 2 work assignments ..
... appropriate Identify members for specific case management and/or disease management activities or interventions by utilizing ... Role Essentials Licensed Registered Nurse (RN) in appropriate state with no ... degree..
... is seeking a Prior Authorization RN to join the Wisconsin Medicaid ... others. Responsibilities The Prior Authorization RN completes medical necessity and level ... PA requests. The Prior Authorization..
... Care Manager for our Complex Case Management Program. The Care Manager employs ... clinical program design, implementation, and management, monitoring and reporting. Comply with ... by Humana. Required Qualifications..
... - Care Manager, Registered Nurse, RN performs varied activities moderately complex ... - Care Manager, Registered Nurse, RN, will utilize Humana's Florida Medicaid ... Unrestricted Current Licensed Registered Nurse..
... and hold an unrestricted eNLC/multi-state RN licensure Humana is seeking a ... clinical program design, implementation, and management, monitoring and reporting. Comply with ... degree in Nursing (B.S.N) Active..
... care experience Licensed Registered Nurse (RN) in the (appropriate state) with ... Preferred Qualifications Bi-Lingual (English/Spanish) Certified Case Manager (CCM) Experience with case management, discharge planning and patient education..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..
... and monitoring and evaluating the case management plan against the member's personal ... or related field Registered Nurse (RN) licensed in the state of ... experience. Previous experience with..
Description The Behavioral Health Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..
Description The Associate Director, Care Management leads teams of nurses and ... health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of ... Responsibilities..
... Care Manager for our Complex Case Management Program. The Care Manager employs ... clinical program design, implementation, and management, monitoring and reporting. Comply with ... to 5% Required Qualifications..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members related to infectious ..
