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... Understand and engage in risk management procedures such as identifying, coordinating, ... standards; Participate in all quality improvement procedures and adhere to quality ... procedures and adhere to quality..
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... Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... to enhance the clinical delivery process. The Associate Director, Compliance Nursing ... problems within department(s), and..
... Ensures accuracy of formularies and utilization management (UM) criteria in the Formulary ... and Therapeutics Committee and Drug Utilization Review team meetings Collaborates with ... an expert in Humana's..
Description The Louisiana Medicaid Pharmacy Lead monitors drug development pipeline, and ... health outcomes. The Medicaid Pharmacy Lead works on problems of diverse ... Responsibilities Humana's Louisiana Medicaid Pharmacy Lead..
... Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who will utilize ... benefit administration determinations. The Manager, Utilization Management Behavioral Health applies a Person-Centered ... Essential Functions and..
... Louisiana is seeking a Manager, Utilization Management Nursing who will utilize clinical ... benefit administration determinations. The Manager, Utilization Management Nursing applies a Person-Centered approach, ... Essential Functions and..
Description The Lead Behavioral Health Medical Director oversees ... doing case reviews themselves. The Lead Behavioral Health Medical Director may ... Health Medical Director may also lead specific functional area..
Description Account Management Lead defines the account management strategy for Humana Pharmacy's commercial ... Pharmacy's commercial accounts. The Account Management Lead works on problems of diverse ... are developed. Leads..
Description Humana Healthy Horizons in Louisiana is seeking a RN, Clinical Educator (Nursing Educator 2) who will plan, direct, coordinate, evaluate, develop, and/or deliver trainings and education programs for professional nursing, ..
... performance support, mobile learning and process documents. Plans, organizes, and collaborates ... proficiency testing, and job performance improvement. Makes decisions on moderately complex ... any field Minimum 1 year..
... meetings with Humana's CEO and management team and frequently deliver strategy ... role is modeled after top-tier management consultant experience. As such, day-to-day ... lines of business to reduce..
... development and implementation of quality improvement interventions and audits and assists ... of experience in Accreditation, Quality Management, Compliance, Utilization Management, Behavioral Health, and/or Case Management Exceptional analytical and..
Job Information Humana Director, Quality Improvement in Metairie Louisiana Description The ... Louisiana Description The Director, Quality Improvement implements quality improvement programs for all lines of ... annual evaluation. The..
Description The Process Improvement Lead analyzes, and measures the effectiveness ... sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of diverse ... moderate to..
Job Information Humana RN, Manager, Utilization Management Nursing in Metairie Louisiana Description ... is seeking a RN, Manager, Utilization Management Nursing who will utilize clinical ... benefit administration determinations. The..
... of the Clinical Drug Policy Management team which ensures synchronization of ... which ensures synchronization of formulary utilization management policies across multiple systems. Humana ... Active, unrestricted pharmacy licensure..
