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Job Information Humana Medicaid Associate Director, Compliance Nursing in Troy Michigan Description The ... Troy Michigan 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..
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 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 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 Job Summary 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 ..
... 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..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Troy Michigan Description The ... Troy Michigan Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
Job Information Humana RN Telephonic Transplant Care Manager-WAH in Troy Michigan Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to ..
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 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 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 ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
... 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..
Description Humana has articulated a long-term vision to transform from a health insurance company to a health services company distinguished by the prioritization of the health outcomes of our members. By ..
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 ..
