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... collaboration with the patient and healthcare team to identify effective interventions ... wishes, if necessary, with the healthcare team and the patient's family/support ... interdisciplinary team on transplant waitlist..
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..
... Assistants.Ensures adequate staffing through daily management of staff scheduling when appropriate.Assesses ... and other members of the healthcare team to interpret, adjust, and ... staff, Facility support staff, and..
... 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 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 ..
... 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..
Job ID 21000KFXAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
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 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 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 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..
... 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..
... 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 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 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..
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 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..
... the global leader in dialysis healthcare, we know what it takes ... to succeed with a premier healthcare organization. As a key member ... and other members of the..
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..
... donor eligibility to donate plasma, management of donor adverse events, review ... timely manner, to include, proper management of informed consent, AIDS education ... from Center Physician and Center..
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 ..
... 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 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 ..
