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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, 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 ..
Description The Director, Health Services Nursing serves as the strategic ... strategic leader for Humana Behavioral Health Utilization Management Inpatient services - including all clinical (inpatient ... building out clinical..
... 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 .....
... 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..
Welcome to Centura Health:At Centura Health, we're on a mission to ... least six months of direct RN experience are eligible for up ... it to work. At Centura Health,..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Colorado ... Springs Colorado Description The Associate Director, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services..
A brand new opportunity for a Postpartum Nurse Manager has just opened up in the beautiful area of Colorado Springs!The Postpartum Nurse Manager will join an award winning 200 bed medical ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Colorado Springs ... Springs Colorado Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
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..
... documentation and communication of medical services and/or benefit administration determinations. The ... most appropriate treatment, care or services for members. Utilization Management Nurse ... 2 will collaborate with other..