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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 Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
... Humana Associate Director, Health Information Management in Aberdeen South Dakota Description ... The Associate Director, Health Information Management ensures data integrity and quality ... quality for our encounter submissions..
... Humana Nationwide Associate Director, Utilization Management Nursing in Aberdeen South Dakota ... Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... determinations. The Associate Director, Utilization..
... of the Clinical Drug Policy Management team which ensures synchronization of ... ensures synchronization of formulary utilization management policies across multiple systems. Humana is seeking a positive ... Strong..
... 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..
Job Information Humana Utilization Management Registered Nurse - Remote in ... South Dakota Description The Utilization Management Nurse utilizes clinical nursing skills ... benefit administration determinations. The Utilization Management Nurse..
... 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..
... 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..
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,..
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..
... 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..
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 ..
... Humana Lead Product Manager - Healthcare API in Aberdeen South Dakota ... The Lead Product Manager - Healthcare API (SME) as part of ... catalog, developer experiences, and integration..
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 ..
Job Information Humana Care Management Support Professional- Prescription Assistance Program-CenterWell-Remote ... South Dakota Description The Care Management Support Professional 1 contributes to ... contributes to administration of care management. Provides..
... Humana Lead Database Administrator, Open Systems - Remote in Aberdeen South ... backup and recovery on Database Management Systems, configures database parameters, and prototype ... by database size, technology..
Description The Senior Health Information Management Professional manages the process of ... improvement. The Senior Health Information Management Professional works assignments frequently requiring ... Responsibilities The Senior Health Information Management..
... 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..
Job Information Humana Senior Product Management Professional in Aberdeen South Dakota ... Dakota Description The Senior Product Management Professional must be able to ... into the marketplace and ongoing management...
Job Information Humana Utilization Management Registered Nurse, RN 2 in ... South Dakota Description The Utilization Management Nurse applies a Person-Centered approach, ... complex problems. Responsibilities The Utilization Management Nurse..
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..
