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... purpose is to provide care management program support resources to physicians, ... physicians, physician groups, and integrated healthcare delivery systems throughout the country. Healthcare isn't just about health anymore...
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..
... Humana Lead Database Administrator, Open Systems - Remote in Glen Allen ... backup and recovery on Database Management Systems, configures database parameters, and prototype ... by database size, technology..
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 ..
Job Information Humana Care Management Support Professional- Prescription Assistance Program-CenterWell-Remote ... Allen Virginia Description The Care Management Support Professional 1 contributes to ... contributes to administration of care management. Provides..
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 ..
... mainframe performance, capacity, and demand management. You will help to create ... and procedures for controlling demand management and to manage application efficiency ... mainframe performance, capacity and demand..
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..
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 ..
Job Information Humana Utilization Management Registered Nurse, RN 2 in ... Allen Virginia Description The Utilization Management Nurse applies a Person-Centered approach, ... complex problems. Responsibilities The Utilization Management Nurse..
Performance Improvement Consultant - Healthcare Revenue Cycle Services Overview of ... to high, requiring moderate change management and Six Sigma activities. May ... project manager between, business office management and..
... Manager for our Complex Case Management Program. The Care Manager employs ... take charge of their own healthcare decisions. Provide guidance and clinical ... clinical program design, implementation, and..
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 ..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments are ... of action. Responsibilities The Utilization Management Nurse 2..
... evaluate options to facilitate appropriate healthcare services/benefits for members Gathers clinical ... to promote quality effectiveness of Healthcare Services and benefit utilization Consults ... and administration of the utilization/benefit..
... Carolina Medicaid (Utilization and Case Management) in Glen Allen Virginia Description ... to substantial. Responsibilities The Utilization Management (UM) and Case Management (CM) Process Improvement Lead for ... and..
... 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 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,..
... the area of mainframe storage management. You will help to create ... and procedures for controlling demand management and make recommendations for modifying ... Responsibilities The Lead, Mainframe Storage..
... 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..
