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... for all customers. Influences HBG's health services strategy by making decisions on ... TRICARE contracts and/or the military health care delivery system Graduate degree ... system Graduate degree in..
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 Humana Medicaid Associate Director, Compliance Nursing in Pittsburgh Pennsylvania ... Pittsburgh Pennsylvania Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
We have an immediate opportunity for Nurse Supervisors. 7p-7:30a, 3 days per week General Summary: The Nursing Supervisor assists in the organization, development, management and administration of nursing service activities. Assists ..
... 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..
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..
... 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..
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...
... and vision of the Home Health clinical operations. Responsibilities As the ... and vision of the Home Health clinical operations. You will develop ... with legal, organizational, and home..
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..
... treatments in collaboration with the Director. Plans, coordinates and acts as ... patients for access management, dialysis services, patient education, hospitalizations, and kidney ... orientation and training including mandatory..
... 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 .....
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Pittsburgh ... Pittsburgh Pennsylvania Description The Associate Director, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services..
... quest to Build the Greatest Health Care Community the World Has ... Coordinate ESRD patient care and services (trend lab values, track metrics ... Requirements: * Current Registered Nurse..
... Medical is looking for au00a0Registeredu00a0Nurse (RN)u00a0to work as theu00a0Health Service Administratoru00a0in ... the HSA is the designated health authority whose responsibility is administratively ... responsibility is administratively overseeing the..
... 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..
... start your career in the health care industry! With paid, extensive ... build a network of other health care professionals across the geography ... quest to Build the Greatest..
