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... clinical program design, implementation, and management, monitoring and reporting Comply with ... private health agencies Previous telephonic case management experience working in the medical/insurance ... Basic knowledge of complex..
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..
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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 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 ..
... 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..
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 ..
Description The Case Manager Hybrid I/II will provide ... Manager Hybrid I/II will provide case management services to patients and their ... National supports the development of RN relationships within..
... required till August 2022) The RN Case Manager is responsible for the ... skills, and the principles of case management to coordinate and implement a ... care across 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..
... 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..
... Information Humana Senior Market Development Professional-RN-WAH Nationwide in Washington District Of ... Required Qualifications Registered Nurse Utilization Management Experience Case Management Experience Advanced Excel Skills 5 ... 5 or..
... National supports the development of RN relationships within the community; specifically ... one year experience in Utilization Management with knowledge of utilization review ... more of the following areas:..
Description The RN Case Management Process Advisor also known as ... Advisor also known as a Case Management Liaison (CML) will oversee the ... (MTFs) and civilian providers. The RN..
HSCPC Case Manager (PRN) Day (8:30a to ... requirements)','230000VZ','The HSC Pediatric Center (HSCPC) Case Manager oversees patients' progression through ... from referral/admission through discharge. The Case Manager actively coordinates the..
... Specific Information Dialysis experience required RN license required Full-time role PURPOSE ... care, ongoing customer support and case management for Fresenius Kidney Care (FKC) ... care coordination, education and..
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 ..
Social Worker - PRN','210002DE','!*!Fosters positive and professional interpersonal relationships with patients/families, physicians, hospital staff, community agency representatives and visitors. Provides comprehensive psychosocial assessment for identified patients and based on findings, facilitates ..
... 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..
... 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..
