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... is seeking a Manager, Utilization Management (Behavioral Health) who will utilize ... administration determinations. The Manager, Utilization Management Behavioral Health applies a Person-Centered ... Functions and Responsibilities Supervise utilization..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
Description The Care Management Support Assistant 2 contributes to ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care Management Support Assistant..
Description The Community Engagement/Management Professional 2 cultivates the organization's ... with community members. The Community Engagement/Management Professional 2 work assignments are ... courses of action. Responsibilities Community Engagement/Management Professional Role..
Description The Health Information Management Professional ensures data integrity for ... claims errors. The Health Information Management Professional work assignments are varied ... action. Responsibilities The Health Information Management Professional..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... administration determinations. Responsibilities The Utilization Management Nurse 2/Home Health Utilization Management Review cases using clinical knowledge, ... Preferred Qualifications Bachelor's..
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 ..
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..
... seeking an Associate Director, Care Management(Behavioral Health) who will use clinical ... health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of .....
Job Information Humana Enterprise Risk Management Lead-US-Remote in Metairie Louisiana Description ... Description The Sales Conduct Risk Management Lead a critical member of ... of Humana's Third Party Risk Management..
... 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..
... 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 Maternity Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources ..
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..
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 ..
