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Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
... degree in a Health related Field or a Licensed Practical Nurse ... 2 years experience in medical case management or care coordination Comprehensive ... experiences Previous experience with electronic..
Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... Care Management Team, the care manager..
... services, monitors and evaluates the case management plan against the member's ... human services or a related field with - one (1) year ... experiences in health care and/or..
Title: Clinical QA Analyst Duration: 12 months Location: Albany, NY - Will be remote for now, due to COVID As a Clinical Quality Assurance (QA) Analyst, you will collaborate with team ..
... and monitoring and evaluating the case management plan against the member's ... Sociology, Psychology, Gerontology or related field Registered Nurse (RN) licensed in the state of ... experience. Previous..
Job Information Humana Director, Behavioral Health Strategy in Albany New York Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Albany New York Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex ... Responsibilities The Intern - Care Manager, Registered Nurse, RN, will utilize Humana's Florida Medicaid .....
Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. Responsibilities ..
Job Information Kindred at Home Care Transition Liaison, Home Health Full Time in Ballston Spa New York The Care Transition Liaison manages an assigned, limited number of key facility and/or physician ..
... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care Manager will assist beneficiaries as they ... Military TRICARE - PDC Care..
Job Information Humana Telephonic Care Coach Professional 1 -WAH Nationwide in Albany New York Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to ..
Title: Clinical QA Analyst Location: Albany, NY will be Remote for now, due to COVID Duration: ASAP through 12/31/2022 As a Clinical Quality Assurance (QA) Analyst, you will collaborate with team ..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
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 for Humana's Kentucky Medicaid Plan. The Utilization ..
Job Information Humana Care Coach 1 in Albany New York Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain an ..
... remote. Job Duties: Evaluate child/youth's case for compliance to applicable regulations. ... psychology, human services or related field. A minimum of 2 years ... Healthcare Compliance Analyst, Auditor, Care..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... Government. Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will..