THE LARGEST COLLECTION OF NURSING JOBS ON EARTH
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... for all customers. Influences HBG's health services strategy by making decisions on ... care organization to include Medicare, Medicaid, TRICARE and/or Commercial products Deep ... TRICARE contracts and/or the..
Description Healthcare isn't just about health anymore. It's about caring for ... Care Coach Nurse, MA, Behavioral health specialist, quality based coder, referral ... providing a concierge experience, multidisciplinary services,..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Lancaster South ... South Carolina Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
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 Nationwide Associate Director, Utilization Management Nursing in Lancaster ... South Carolina Description The Associate Director, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services..
... leadership for Humana's South Carolina Medicaid Quality Program, in alignment with ... with organizational quality and population health goals and ensuring compliance with ... safety, quality of care, improves..
Description As Humana's Medicaid membership continues to grow, the ... continues to grow, the National Medicaid Clinical Operations team is expanding ... team is expanding our shared services organization to..
... guidelines and policies, and approves services or forward requests to the ... of care reviews for requested services using clinical judgment and refers ... Eastern Time Zone Preferred Qualifications..
... experience designed to meet the whole-health needs of the people we ... help them achieve their best health. Dedicated to simplifying the healthcare ... difference in the lives and..
... 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..
... Practitioner - CenterWell - Charleston, SC in Charleston South Carolina Description ... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide..
... RN to join the Wisconsin Medicaid Market (iCare) team. This position ... necessity and other Medicare and/or Medicaid criteria if applicable, to promote ... to promote cost-effective delivery of..
