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Description The Care Management Support Assistant 3 contributes to ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care Management Support Assistant..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
... care facility The Supervisor, Care Management Support will lead a team ... contributes to administration of care management. Provides non-clinical support to the ... of members. The Supervisor, Care..
... Humana Nationwide Associate Director, Utilization Management Nursing in Charleston West Virginia ... Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... determinations. The Associate Director, Utilization..
Description The Utilization Management Behavioral Health Nurse 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
... providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical management systems. Understands own work area professional ... Excel, PowerPoint, Outlook and..
Job Information Humana Quality Improvement Coordinator in Charleston West Virginia Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. ..
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 ..
... Director, Problem, Incident and Event Management drives technical support teams to ... Director, Problem, Incident and Event Management requires a solid understanding of ... Director, Problem, Incident and Event..
... reducing waste and overuse of healthcare services, while encouraging high value ... Trend (CAT) team needs your healthcare, analytic, and research acumen to ... have the opportunity to support..
Description The Remote Systems Clinical Pharmacist will provide excellent ... relationships with Account / Clinical Management and PCO-IPU Operations teams. Responsibilities ... teams surrounding IPU Operations, formulary management, inventory control,..
Job Information Humana Utilization Management Nurse 2 Behavioral Health in ... West Virginia Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
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 ..
Job Information Humana Utilization Management Coordinator 2 in Charleston West ... contributes to administration of utilization management. The UM Administration Coordinator 2 ... ability to quickly learn new systems Must..
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 ..
... Reviews inventory reports and assists management with data tracking to identify ... providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical..
... solve basic problems; collaborates with management and top professionals/specialists in selection ... on the utilization and medical management processes, entering/maintaining pertinent clinical information ... clinical information in various medical..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... answer provider/beneficiary inquiries. The Care Management Support..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... training and by leader. Utilization Management Nurse 2..
... center leadership to continuously improve systems that directly impact occupancy*Establish and ... skillset, tools, and digital brand management plan based on priorities that ... through the delivery of high-quality..
Job Information Humana Utilization Management Registered Nurse, RN in Charleston ... West Virginia Description The Utilization Management Nurse applies a Person-Centered approach, ... complex problems. Responsibilities The Utilization Management Nurse..
