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Description The Overutilization Review and Monitoring Staff Clinical Pharmacist is a clinical pharmacist that works in Humana's Drug Management Program. This individual conducts case management on at-risk beneficiaries and potential at-risk ..
Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..
Job ID 21000IJPAvailable Openings 1Position Specific Information $1,000 Sign-on Bonus with no dialysis experience $1,500 Sign-on Bonus with dialysis experiencePURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service ..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization, with a focus on oncology requests. The Oncology ..
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 ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Lancaster South Carolina Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Lancaster South Carolina Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of ..
Description Humana's Primary Care Organization is the largest and fastest growing value-based care, senior-focused primary care providers in the country, currently operating over 215 centers across eight states in twenty plus ..
Job Information Kindred at Home CNA - Home Health Aide (HHA), Part-Time - Weekdays, Set your Own Schedule! in Monroe North Carolina A Home Health Aide ( HHA ): Provides direct ..
... Health benefits (Health/Vision/Dental) Weekly Pay Direct Deposit Travel reimbursement State License ... is a national leader in healthcare staffing recognized by Staffing Industry Analysts (SIA) as one ... one..
Job Information Humana Medical Director of Long Term Care, Florida in Lancaster South Carolina Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal member ..
At National Staffing Solutions, we have the privilege ... honor of working with dedicated healthcare professionals that make a positive ... impact in aiding those needing healthcare services across the..
Job Information Humana Telephonic Care Manager in Lancaster South Carolina Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Lancaster South Carolina Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..
Description Join Humana's Talent Acquisition organization to support our growing Healthcare Services division! The Senior Physician Recruiter recruits qualified physicians for medical staff and assists in development of strategic physician recruitment ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Lancaster South Carolina Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments ..
... care needs and collaborates with direct and ancillary patient care staff ... and provides, in collaboration with direct and ancillary patient care staff, ... measures. Delegates appropriate tasks to..
Description Responsibilities Humana's Primary Care Organization is one of the largest and fastest growing value-based, senior primary care groups in the country, providing care to over 200,000 seniors across 175 sites ..
Description The Senior Quality Improvement Professional will focus organizational efforts on improving behavioral health (BH)/substance use disorder (SUD) clinical quality performance measures to achieve optimal performance and quality for the Humana ..
Description Provides executive leadership to Humana. Responsibilities Humana's Primary Care Organization is one of the largest and fastest growing value-based, senior primary care groups in the country, providing care to over ..
Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ..