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Description The Behavioral Health Care Coordinator, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction ..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
Job Information Humana Utilization Management Registered Nurse - Remote in Anchorage Alaska Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
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 ..
Description The UM Administration Coordinator contributes to administration of utilization ... utilization management. The UM Administration Coordinator performs varied activities and moderately ... semi-routine assignments. The UM Administration Coordinator is..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Anchorage Alaska Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
... to administer the TRICARE health program for military members, retirees and ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... will serve as the primary..
Job Information Humana Manager, Utilization Management RN - Remote in Anchorage Alaska Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..
... errors and the Quality Improvement Program.nStrictly adheres to the Walgreen Co. ... manual claims for third party program prescription services in a timely ... coordination of clinical services, Walgreens..
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... a Bachelor's degree in Business, Healthcare, or related field and/or 8 ... 5 years' experience in the..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Anchorage Alaska Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
Job Information Humana Quality Improvement Coordinator in Anchorage Alaska Description The ... Alaska Description The Quality Improvement Coordinator 3 assists in administering and ... processes for the Ohio Medicaid program...
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Anchorage Alaska Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..
... errors and the Quality Improvement Program.Strictly adheres to the Walgreen Co. ... manual claims for third party program prescription services in a timely ... coordination of clinical services, Walgreens..
**Providence is calling a Team Manager Nurse Family Partnership (Home Health Care Nursing Partnership, Day Shift, 1.0 FTE) to Providence Home Health Care in Anchorage, Alaska.** **We are a community of ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Anchorage Alaska Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible for ..
