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Job Information Humana Medicaid Associate Director, Compliance Nursing in Montpelier Vermont ... Montpelier Vermont Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
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 ..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
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 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 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 ..
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 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 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 ..
... and Risk Adjustment National Medical Director in Montpelier Vermont Description The ... in Montpelier Vermont Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and..
Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Montpelier Vermont Description As a company whose primary focus is on the well-being of its members, Humana is dedicated ..
... in Montpelier Vermont 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 Montpelier ... Montpelier Vermont Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..
Job Information Humana Associate VP, Technology Solutions, Pharmacy in Montpelier Vermont Description The Associate Vice President of Technology Solutions acts as a liaison and collaborates with the business and functional stakeholders ..
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 ..
... a leading provider of post-acute healthcare services from short-term to long-term ... difference.Join Genesis as a Unit Manager/Director - RN where your clinical ... unit, you will support the..
Job Description:Our client located in the state of Vermont is looking for a permanent RN Director overseeing Emergency Services. Department sees 14K visits/annually. BSN and TNCC required with previous RN management ..
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 ..
... closely with the Quality Improvement Director, Quality Improvement team and other ... in the fast-paced industry of healthcare, we offer our associates career ... impact on the future of..
