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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... documentation, and communication of medical services and/or benefit administration determinations. The ... determinations...
Description The Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of how organization capabilities ..
Description The Director of Health Services for National Medicaid Clinical Operations ... documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration determinations. The Director,..
Job Information Humana RN Telephonic Transplant Care Manager-WAH in ... member's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... receptor T cell (CAR-T) therapy services Guide members..
... a leading provider of healthcare services from short-term to long-term care ... living options and professional clinical services. We are changing how care ... clinical team as an Assistant..
... bed facility provides the following services: Brain & Neuro, Cancer Care, ... & Neuro, Cancer Care, Children's Services, Diagnostics, Digestive Disorders, Ear, Nose ... State), Pulmonary and Respiratory, Rehabilitation..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral ... opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support ... documentation, and communication..
... / Physician Assistants (340) Allied Health (3222) Executive (80) Operations (255) ... NEW! Registered Vascular Technician Texas Health Resources Fort Worth, Texas Registered ... Specialists Lake Barrington, Illinois Technical..
Description The 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 toward and facilitate ..
Description The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates transplant members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..
... team is expanding our shared services organization to enhance the clinical ... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The..
... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide health education and value-added, well-being services at the centers and around .....
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
... is equipped with 122 beds. Services offered include chest pain and ... pain and stroke care; surgical services, including minimally invasive surgery; orthopedics, ... and other designated patient care..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Birmingham Alabama ... Birmingham Alabama Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Description The Director, Health Services utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration determinations. The Director, Health..
Job Information Centerwell RN Clinical Manager in Hoover Alabama ... oversees all direct care patient services provided by clinical personnel. Develops, ... adhering to Company, physician, and/or health facility procedures/policies...
