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Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description The Director of Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health ..
... to make a difference.Take your nursing career to the next level ... clinical team as an Assistant Director of Nursing. You will support the Director of Nursing with the..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... benefit administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding of..
... Alabama Salary: Open Categories: General Nursing Nursing Internal Number: 2205002587 Citizens Baptist ... position (CNO) responsible for all nursing and other designated patient care ... planning, coordinating, implementing and..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
... in conjunction with the Branch Director and Company Finance Department to ... Resources Department and the Executive Director/Director of Operations. Participates in the ... of emergency. Acts as Branch..
Description The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates transplant members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..
Description The Director, Health Services utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... function or segment. Responsibilities..
Job Information Humana RN Telephonic Transplant Care Manager-WAH in Birmingham Alabama Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to ..
... Alabama Salary: Open Categories: General Nursing Nursing Internal Number: 2205008386 Brookwood Baptist ... position (CNO) responsible for all nursing and other designated patient care ... planning, coordinating, implementing and..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Birmingham Alabama Description The ... Birmingham Alabama Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
... Alabama Salary: Open Categories: General Nursing Nursing Internal Number: 2205002699 Brookwood Baptist ... position (CNO) responsible for all nursing and other designated patient care ... planning, coordinating, implementing and..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Birmingham Alabama Description The ... Birmingham Alabama Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
