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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description The Vendor Quality Medical Director will manage clinical ... Director will manage clinical vendor quality outcomes for Humana Clinical Operations ... Director to manage clinical vendor quality outcomes for..
... policies and procedures *Support the manager in maintaining relationships with inside ... and customer base *Support the manager with quality assurance programs to ensure that pharmacy ... and regulatory..
We have exciting employment opportunities for remote HIM Coding Specialists on our Outsource Coding Team. Position Summary The HIM Coding Specialist will handle medical coding and data entry / abstraction for ..
... and other members of the healthcare team to interpret, adjust, and ... Recommend disciplinary action to Clinical Manager and initiate as appropriate. Ensure ... the absence on the Clinical..
Job Information Humana Associate Director, Site Reliability Engineering in San Juan Puerto Rico Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate ..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... an account or branch for quality assessment, education and clinical training, ... with the goal of ongoing..
... whether services provided by other healthcare professionals are in agreement with ... training in transitions of care, quality assurance, utilization management and care coordination ... focusing on transitions of..
Job Information Humana Manager, Care Management/HMS (RN FULLY BILINGUAL ... Juan Puerto Rico Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management..
... monitoring of Health and Wellness quality improvement projects; analyzing and summarizing ... improvement projects; analyzing and summarizing quality data related to Health and ... programs and services; and leading..
