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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 ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Jersey City New Jersey Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners ..
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 Information Humana Telephonic Care Manager in Jersey City New Jersey Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Jersey City New Jersey Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Jersey City New Jersey Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Jersey City New Jersey Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and ..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Jersey City New Jersey Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision ..
Nomad Health, the modern healthcare staffing company, seeks an experienced registered nurse for this rewarding travel assignment opportunity. Join Nomad's growing team of registered nursing professionals. Nomad offers nurses a hassle-free ..
... by an experienced team of Healthcare Staffing Pioneers, Accountable thinks a little ... little differently from the normal staffing structure out there. Our team ... interest in mind. We..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Jersey City New Jersey Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will ..
Job ID 21000LS2Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
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 Medical Director of Long Term Care, Florida in Jersey City New Jersey Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal ..
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 ..
Posted: 23-Feb-22 Location: Jersey Shore, Pennsylvania Type: Part Time Salary: Open Categories: General Nursing Internal Number: R-23128 Job Summary Phlebotomist II is responsible and accountable for performing a wide range of ..
Telehealth Primary Care Locum Tenens Jobs: New JerseyAre you looking to supplement your hours or work on your days off? Our client is currently seeking Doctors that have a flexible schedule ..
Job Information Humana Senior Clinical Recruiter in Jersey City New Jersey Description The Senior Clinical Recruiter recruits qualified applicants for staff nurse or other positions requiring registered nurse licensure, licensed practical ..
... acumen to solve for the healthcare challenges of today. The Clinical ... years or more working in healthcare and/or population health or social ... job as we are a..
