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... for utilization management oversight and clinical decision-making as outlined in the ... Certified Behavior Analysts (BCBAs) conducting clinical necessity reviews in the delivery ... tools to assist in guiding..
... Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent ... for supporting new Medicaid Market..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Information Humana Manager, Utilization Management Nursing - North Central Region (Work at Home) in Green Bay Wisconsin Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ..
... member and care manager experience, clinical quality, and savings to medical ... anywhere The Humana Care Management Clinical Outcomes team within Humana's Home ... organization is focused on improving..
Job Information Humana Clinical Analytics and Trend Program Manager ... Green Bay Wisconsin Description The Clinical Strategy and Practice Lead builds ... strategies for development, engagement, best clinical practices and..
Clinical Coding We are a fast-growing ... Risk Adjustment and comprehensive, year-round clinical data analysis efforts as well ... United States. Job Summary: The Clinical Coding team member will perform..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... healthcare challenges of today. The Clinical Analytics and Trend team uses ... techniques, data analysis,..
BayCare Clinic currently has openings for CNA's, MA's and LPN's! Our specialty clinics are looking for individuals to provide first class care to our patients. Hours vary by clinic, between the ..
... innovations, flexible medication access, one-on-one clinical support, and excellent customer service. ... customer service. Responsibilities Summary The Clinical Liaison is directly responsible for ... with their assigned client(s). The..
... Care Management Team and the Clinical Outcome Team may be a ... member and care manager experience, clinical quality, Stars program performance and ... stakeholders from across the enterprise..
Job Information Humana Manager, Utilization Management RN - Remote in Green Bay Wisconsin Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
... Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... individuals. Our leaders are passionate clinical leaders that have a strong ... Care model is preferred. Utilizing..
... actions. Recommend disciplinary action to Clinical Manager and initiate as appropriate.Ensure ... in the absence on the Clinical Manager ensuring compliance with applicable ... efficient, and effective matter. With..
