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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 ..
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..
... 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..
... Humana RN Telephonic Transplant Care Manager-WAH in Ridgeland Mississippi Description The ... Ridgeland Mississippi Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care..
Job Information Humana Manager, Utilization Management RN - Remote ... in Ridgeland Mississippi Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Job Information Humana Lead Product Manager - Ancillary Products in Ridgeland ... Mississippi Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
... 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..
... 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..
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..
Job Information Humana Lead Product Manager - Group Dental, Vision and ... Mississippi Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
... 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..
... 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..
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 ..
... 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..
... 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 Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
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..
... 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..
... 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..
Job Information Humana Telephonic Care Manager in Ridgeland Mississippi Description The ... Mississippi Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
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..
... 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...
