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... section 4. Responsibilities The UM Manager will lead a team of ... clinical necessity reviews in the delivery of care to a specific ... when approving all TPs, ABA..
Description The Senior Product Manager - Fully Insured supports strategy ... Fully Insured supports strategy development, delivery, and management of the 100 ... business. Responsibilities The Senior Product Manager supports..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... schedules and goals. Responsibilities The Manager, Utilization Management Nursing..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... schedules and goals. Responsibilities The Manager, Care Management oversees..
Description The Transplant Care Manager, Telephonic Nurse 2 , in ... of members. The Transplant Care Manager, Telephonic Nurse 2 work assignments ... home anywhere The Transplant Care Manager, Telephonic..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, and progressive approaches ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary...
Job Information Humana Technical Product Manager - Remote in Green Bay ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... You will also facilitate the..
... medical necessity of a given service or level of care. The ... care, and/or requested site of service should be authorized. All work ... whether services provided by other..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Description The Director, Health Services utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding ..
Job Information Humana Manager, Utilization Management RN - Remote ... Green Bay Wisconsin Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Description The Care Delivery Tele Sales Supervisor supports and ... develops a team of Care Delivery Tele Sales Agents. The Care ... Tele Sales Agents. The Care Delivery Tele Sales..
... care, and/or requested site of service should be authorized. All work ... whether services provided by other healthcare professionals are in agreement with ... Medical management organizations, hospitals/ Integrated..
... the mission of a leading healthcare company committed to improving the ... possess working knowledge of contemporary healthcare technologies and have a proven ... as Digital, Population Health, Care..
... Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US ... seeking a Senior Quality Program Delivery Professional who will manage and ... implementations. The Senior Quality Program..
... Humana RN Telephonic Transplant Care Manager-WAH in Green Bay Wisconsin Description ... Bay Wisconsin Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care..
... of services provided by other healthcare professionals in compliance with review ... inpatient, post-acute care environments, outpatient service requests, ER review, pharmacy review ... whether services provided by other..
... in HGB the Integrated Care Delivery Model. Essential Functions and Responsibilities ... components of HGB's Integrated Care Delivery Model Provide clinical case management ... programs within the Integrated Care..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, and progressive approaches ... Government. Responsibilities The Telephonic..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Experience - Shopping, Enrollment, & Self-Service. In this role, you set ... Humana.com marketing, shopping, enrollment, and..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Vice President, Digital Experience - Self-Service. In this role, you set ... execute the vision of Humana.com..
Job Information Humana Telephonic Care Manager in Green Bay Wisconsin Description ... Wisconsin Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
