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Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... Wyoming Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management..
Job Information Humana Manager, Utilization Management RN - Remote in Riverton ... Wyoming Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... of action. Responsibilities The Utilization Management Nurse 2..
Description The Health Information Management Professional 2 ensures data integrity ... claims errors. The Health Information Management Professional 2 work assignments are ... action. Responsibilities The Health Information Management Professional..
Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..
... The Compliance Nurse reviews utilization management activities and documentation to ensure ... plus Previous experience in utilization management, case management, discharge planning and/or home health ... or rehab Certification..
Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
... all media and enterprise brand identity management for a diverse portfolio of ... accurate use of the brand identity across all internal and external ... into creative strategy for..
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 ..
... role is accountable for the management of the Medicaid Encounter and ... of technical experience and/or vendor management experience 3 or more years ... 3 or more years of..
... previews credentialing, and utilizes contract management systems Regularly exercises discretion and ... more years of experience in healthcare insurance and/or Medical front office ... quicker. Alert: Humana values personal..
Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution in order to conduct or facilitate training courses for organization employees ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
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..
Description The Supervisor, Care Management Support contributes to administration of ... contributes to administration of care management. Provides non-clinical support to the ... of members. The Supervisor, Care Management Support..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Riverton Wyoming Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
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 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..
... of services provided by other healthcare professionals in compliance with review ... plans for the scope of management that are aligned with the ... *5 or more years of..
... structured problem solving, and project management rigor. We are a diverse ... will support the oversight and management of the innovation portfolio and ... resourcing, roadmaps, as well as..
... let your creative ideas, relationship management and sales ability shine? If ... the day-to-day selling and/or account management activity. Accountable for achieving new ... 3 years of strong relationship..
