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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 ..
... Centered Medical Home and provide health care in a setting where ... patients. Reports to the Associate Director of Geriatrics Services and works in collaboration with ... to maintain..
... hiring for a part time RN Supervisor!! Genesis is a leading ... a leading provider of healthcare services from short-term to long-term care ... living options and professional clinical..
... now hiring for Per Diem RN Supervisors! Genesis is a leading ... leading provider of post-acute healthcare services from short-term to long-term care ... living options and professional clinical..
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,..
... opportunities Similar jobs Operating Room RN (Nationwide) Aya Healthcare Full-time, Part-time ... Urgently Hiring Labor and Delivery RN (Nationwide) Aya Healthcare Full-time, Part-time ... CT 06451 Urgently Hiring Endo..
... every day. The Ambulatory Patient Services Managers in partnership with the ... in partnership with the Medical Director (s) is responsible and accountable ... and other market forces on..
... 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..
... with the Cystic Fibrosis Program Director and the Ambulatory Medicine Leadership ... with the Cystic Fibrosis Program Director and leadership in the development ... .5 Collaborates with the Program..
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..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Bridgeport ... Bridgeport Connecticut Description The Associate Director, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Bridgeport Connecticut ... Bridgeport Connecticut Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
... Summary 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 .....
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...
... direction of the Medical Clinical Director and/or the Patient Services Manager of the Newborn Special ... nurses, physicians and other professional health care team members. Provides clinical ... patients..
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..
Job Information Centerwell RN Branch Director in Hamden Connecticut The Branch ... in Hamden Connecticut The Branch Director is accountable for managing the ... and people management/development. The Branch Director..
... guidelines and policies, and approves services or forward requests to the ... of care reviews for requested services using clinical judgment and refers ... active compact or single state..
... and length of service. The Director of Nursing combines nursing and ... healthcare.Foster continuous improvement of nursing services and staff to meet patients/residents ... a leading provider of healthcare..
... the Interstitial Lung Disease Program Director and the Ambulatory Medicine Leadership ... .2 Collaborates with the Program Director and leadership in the development ... .5 Collaborates with the Program..
... 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..
