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... policy in order to complement utilization, cost and quality strategies. Meets ... resource for multiple departments, especially utilization management and care management groups. Leverages clinical experience and ... Bachelor's..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and ... courses of action...
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... and goals. Responsibilities The Manager, Utilization..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to ... Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments are varied and ... courses of action...
... Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... and quality performance and staffing management. Detailed Responsibilities include: Leads Medicaid ... Medicaid operational process and..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are varied and..
Description The Associate Director, Care Management leads teams of nurses and ... health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of ... associates..
... responsibility to operate a quality management infrastructure which promotes member safety, ... Oversee the development, implementation and management of quality improvement projects and ... committees of governance and quality..
Description The Associate Director, Utilization Management Nursing uses clinical knowledge, communication ... retrospective reviews, and any additional utilization management functions. Coordinates with the Clinical ... Leadership team to ensure all..
Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... succeed, we succeed! The Manager, Utilization..
... (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical ... are at risk of excessive utilization of future health related services ... hours. The APP will spend..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding ... delivery process. The Associate Director,..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and ... as technology allows..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing ... in the state(s) in which nurse is required to practice Prior ... for Investigation Processing) Work at..
