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Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
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 Care Coach 1 in Anchorage Alaska Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain an optimal ..
... Based financial analysis Experience in data management, data extraction, and data reporting Comprehensive knowledge of MS ... SQL to pull and review data elements Extensive knowledge of multiple .....
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Humana Telephonic Care Coach -WAH Nationwide in Anchorage Alaska Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... the analysis of situations or data requires an in-depth evaluation of ... a Bachelor's degree in Business,..
Job Information Humana Telephonic Care Coach Professional 1 -WAH Nationwide in Anchorage Alaska Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve ..
... nursing skills necessary to assess data and plan, provide and evaluate ... members. Reviews diagnostics and laboratory data and reports abnormal results to ... the discharge plan, utilizing assessment..
... Coordination of Care studies. Analyzes data and implement corrective actions as ... Reviews medical records for supplemental data and enter data in supplemental data base. Understands department, segment, and..
Job Information Humana UM Medical Director - Conviva in Anchorage Alaska Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
... nursing skills necessary to assess data, plan, provide, and evaluate care ... members. Reviews diagnostics and laboratory data and reports abnormal results to ... the discharge plan, utilizing assessment..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Description The UM Administration Coordinator 2 contributes to administration of ... utilization management. The UM Administration Coordinator 2 performs varied activities and ... The Utilization Management (UM) Administration Coordinator 2..
**Providence is calling a Team Manager Nurse Family Partnership (Home Health Care Nursing Partnership, Day Shift, 1.0 FTE) to Providence Home Health Care in Anchorage, Alaska.** **We are a community of ..
... the analysis of situations or data requires an in-depth evaluation of ... phase Obtain and synthesize complex data in order to tell t ... team (operations, technology, clinical partners,..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
... regarding HEDIS and quality measurement data collection and improvement methodology for ... Qualifications Bachelor's degree in Business, Healthcare, or related field. 5 years ... to perform moderate to complex..
