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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. Responsibilities The hours are Monday to Friday ..
Description The Care Management Support Assistant contributes to administration ... contributes to administration of care management. Provides non-clinical support to the ... administration support experience in the healthcare industry Familiarity..
Job Information Humana Medicaid Utilization Management Nurse in Louisville Kentucky Description ... Louisville Kentucky Description The Utilization Management Nurse 2 utilizes clinical nursing ... Kentucky Medicaid Plan. The Utilization Management..
Job Information Humana Enterprise Risk Management Lead-US-Remote in Louisville Kentucky Description ... Description The Sales Conduct Risk Management Lead a critical member of ... of Humana's Third Party Risk Management..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist ... requests. The Oncology Staff Utilization Management Pharmacist work assignments involve moderately ... Responsibilities The Oncology Staff Utilization Management..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... Soul. Join Us! The Utilization Management Nurse 2..
Description The Health Information Management Professional 2 ensures data integrity for claims received. The Health Information Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..
Description The Pharmacy Clinical Programs Pharmacist Lead will be a part of an interactive team with broad exposure and scope within Humana. This individual will develop and invest in both clinical ..
Description The Social Services Care Manager, 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 facilitate interaction ..
... Kentucky is seeking a Utilization Management Behavioral Health Professional to join ... join our team. The Utilization Management (UM) Behavioral Health (BH) Professional ... with Care Coordination and Case..
... Wed, Thu, Fri). The Utilization Management RN utilizes clinical nursing skills ... benefit administration determinations. The Utilization Management RN work assignments are varied ... Soul. Join Us! The Utilization..
Job Information Humana Medical Coding Auditor (Evaluation & Management experience required) in Louisville Kentucky Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager, Registered ..
... and possible participation in care management. The clinical scenarios predominantly arise ... health, or disease or care management. Medical Directors support Humana values, ... in teams focusing on quality..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
... a publicly traded, Fortune 50 healthcare company with a long history ... in the country. Responsibilities The Healthcare Strategy team supports Humana's Medicare ... experienced team member with meaningful..
Description The Utilization Management Nurse 1 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 1 work assignments are ... moderate complexity. Responsibilities The Utilization Management Nurse 1..
... Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral ... during the interview. The Utilization Management Behavioral Health Nurse completes medical ... sufficient clinical information. The Utilization..
... Telephonic opportunity As a Utilization Management RN working on the Home ... this position -- The Utilization Management Nurse 2 helps to ensure ... experiences. Excellent organizational and time..
