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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 ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Chicago Illinois Description The ... Chicago Illinois Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
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..
Job Information Humana RN Telephonic Transplant Care Manager-WAH in Chicago Illinois Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to ..
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 ..
... operations. You will develop the nursing and clinical department goals, objectives, ... and implementing the Standards of Nursing Practice and the clinical operations ... of experience at a senior..
Immediate need for Interim Director of Nursing Join a Skilled Nursing Facility west of Chicago, IL and utilize your skills as an Interim DON! Illinois RN License and SNF Experience Required. ..
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, ..
... the supervision of the Chief Nursing Officer, provides leadership and oversight ... Recognition Program® standards to promote nursing excellence, empowerment through shared governance, ... Serves as a liaison for..
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 ..
Job Number: Job Posting: Closing Date: : : : : Organization:..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Chicago Illinois Description The ... Chicago Illinois Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
Description Responsibilities The Director, Health Services uses clinical knowledge, communication and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or ..
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 ..
Licensed Practical Nurse - (LPN) The Birches Assisted Living (1) OPENING: FULL TIME- 6:30A-3PM When you join The Birches, you join a Successful Aging Community. We believe that each one 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 ..
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 ..
Department objectives are: to develop, implement, and oversee a pro-active claims and risk management program, ensuring a consistent and optimal approach in controlling loss experience, and minimizing indemnity and expense payments. ..
Come work for BrightStar Care, a company who believes in Serving with Passion and Doing the Right Thing. The Caregiver is a member of the home care team who works under ..
... 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..
... treatments in collaboration with the Director. Plans, coordinates and acts as ... policies, and confers with the Director and Human Resources regarding the ... Staff By-Laws. Responsible for strong..
... the Chief Medical Officer (CMO)/Medical Director to review PA requests. The ... medical equipment, outpatient therapies, skilled nursing facility therapies, and all outpatient ... for forwarding to the CMO/Medical..
