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... Work with local market utilization management and case management teams for inpatient cases. Participate in Quality Operations ... in Quality Operations including Quality Management Committee, monitor initial peer review..
... in both the treatment and management of most chronic and acute-care ... we serve, including our associates, lead their best lives. We support ... established guidelines/procedures. Required Qualifications Active..
... continuum. You will perform clinical case review on members during an ... review on members during an inpatient hospital admission. You will collaborate ... to learn. Provide authorizations for..
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... is seeking a Manager, Utilization Management (Behavioral Health) who will utilize ... administration determinations. The Manager, Utilization Management Behavioral Health applies a Person-Centered ... assignments in the form of..
... in Louisiana is seeking a RN, Manager of Care Management to lead our Maternal-Child health care management operations and staff for the ... Functions and Responsibilities: Supervises care management..
... include: Leading an integrated care team comprised of clinical managers and ... and consistent application of appropriate inpatient and outpatient medical necessity criteria ... review and discharge planning of..
Job Information Humana RN Primary Care Coordinator/Case Manager - CenterWell - Covington/Denham ... in both the treatment and management of most chronic and acute-care ... we serve, including our associates,..
... Horizons in Louisiana is seeking RN Managers of Care Management who will lead our physical health/behavioral health care ... our physical health/behavioral health care management operations and staff to..
Job Information Humana RN Primary Care Coordinator/Case Manager - CenterWell - Denham ... in both the treatment and management of most chronic and acute-care ... we serve, including our associates,..
... Remote, must have a Compact RN state license Humana is seeking ... Care Manager for our Transition Case Management Program to provide one-on-one guidance ... recently discharged from an..
