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Description The Utilization Management Nurse uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or ..
Description As the Associate Director, IT Project Management, you will use your background ... background and experience in program management to lead and manage a ... our Medicare segment. The..
Description The Vendor Quality Medical Director will manage clinical vendor quality ... Responsibilities A full time Medical Director to manage clinical vendor quality ... for inpatient and outpatient utilization management..
... treatments in collaboration with the Director. Plans, coordinates and acts as ... care as per the disease management agreement, including initial and ongoing ... workup of patients for access..
... (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship ... Specialists Lake Barrington, Illinois Technical Director/Registered Vascular Technologist Opportunity in Eugene, ... Transcriptionist- PRN Nights Mary..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... Vice President, Home Care Product..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Responsibilities Key Responsibilities Leverage product management expertise to create simple, personalized ... the moment of need for..
Job Information Humana Director, Medicaid Strategic Solutions in Chicago ... the mission of a leading healthcare company committed to improving the ... structured problem solving, and project management rigor. We..
... member physical health and behavioral healthcare through assessment and care planning, ... of strategies designed to reduce risk factors and address complex clinical ... and clinical guidelines, standardized case..
... implement change, while mitigating operational risk. The right candidate will make ... or more years of product management experience and/or clinical implementation Leadership ... and Outlook Excellent organizational, time..
... drive the delivery of quality healthcare to establish competitive business advantage ... programs are comprised of utilization management, quality management, network management and clinical coverage and policies. ... member..
Job Information Humana Director, Behavioral Health Network & Market ... in Chicago Illinois Description The Director, Behavioral Health (BH) Network and ... model design (full or partial risk, PPPM, upside..
... Hospitals Chicago, Illinois NEW! NEW! Director, Environmental Services Cookeville Regional Medical ... Nashville, Tennessee NEW! NEW! Materials Management Clerk FT Kindred Hospitals El ... Nashville, Tennessee NEW! NEW! Clinical..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in Chicago Illinois Description The ... in Chicago Illinois Description The Healthcare Quality Reporting & Improvement (HQRI) ... national..
Description Humana's Enterprise Clinical Management team needs your clinical, business ... acumen to solve for the healthcare challenges of today. The Clinical ... organization is seeking a Medical Director of..
TeamHealth has an exciting opportunity available for a physician to join our hospitalist team in Elgin, Illinois. This is currently round-and-go but is transitioning to a 7-on/7-off schedule. Candidates should be ..
... in the country. Responsibilities The Healthcare Strategy team supports Humana's Retail ... a team member with meaningful management consulting experience to support the ... its interactions with Humana's executive..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... in Chicago Illinois Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..
... possible.This is a credentialed medical director position, focused on both senior ... addressing complex workplace health and risk challenges.Qualifications15 years of industry experience ... years of industry experience including..
... oversee a pro-active claims and risk management program, ensuring a consistent and ... expense payments. The Office of Risk and Claims Management (ORCM), Division of Clinical Risk Management, identifies,..