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Description The Director, Health Services utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding ..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Pittsburgh Pennsylvania ... Pittsburgh Pennsylvania Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
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 Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Job Information Humana VP, Clinical Operations in Pittsburgh Pennsylvania Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, you will be responsible for planning and creating the ongoing ..
... in Pittsburgh Pennsylvania Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Pittsburgh ... Pittsburgh Pennsylvania Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..
Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Pittsburgh Pennsylvania Description As a company whose primary focus is on the well-being of its members, Humana is dedicated ..
... a leading provider of post-acute healthcare services from short-term to long-term ... through the delivery of high-quality healthcare and everyday compassion! *We Care ... The RN Supervisor supports the..
We are in search of Direct Care Aide's to provide care and support for our clients with Intellectual and Developmental Disabilities. An employee in this class is responsible for the specialized ..
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 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 ..
Job ID 21000JP6Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
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 Humana is a $77 billion (Fortune 41) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Medical Center--a Level 1 Trauma Center located in an hour east of Pittsburgh—is searching for a BE/BC Pulmonary/Critical Care physician to join an established practice. Hospital, a Primary Stroke Center and ..
!!!!!DIRECT CARE WORKERS NEEDED IMMEDIATELY!!!!!! We are in search of Direct Care Aide's to provide care and support for our clients with Intellectual and Developmental Disabilities. An employee in this class ..
... and Risk Adjustment National Medical Director in Pittsburgh Pennsylvania Description The ... in Pittsburgh Pennsylvania Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and..
