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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 ..
Job Information Humana Clinical Analytics and Trend Program Manager in Brentwood Tennessee Description The Clinical Strategy and Practice Lead builds strategies for development, engagement, best clinical practices and processes for clinical ..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care..
Job Information Humana Staff Consultative Pharmacist, Remote PA or TN in Brentwood Tennessee Description The Staff Consultative Pharmacist consults with patients, pharmacies and providers to provide patient care in the form ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Brentwood Tennessee Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
Description The Staff Consultative Pharmacist consults with patients, pharmacies and providers to provide patient care in the form of optimal medication therapy. The Staff Consultative Pharmacist work assignments involve moderately complex ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... of tasks. Reports to a manager or head of a unit/department.Qualifications ... is a national leader in healthcare staffing recognized by Staffing Industry Analysts (SIA) as one ... one..
Job Information Humana Telephonic Care Manager in Brentwood Tennessee Description The ... Tennessee Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Job Information Humana Senior Project Manager -- Remote in Brentwood Tennessee ... Tennessee Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Brentwood Tennessee Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Manager of Fraud and Abuse Data ... Brentwood Tennessee Description Responsibilities The Manager of Fraud and Abuse Data ... Qualifications 5 plus years of healthcare claims experience..
Job Information Kindred at Home Physical Therapist Home Health PRN in Jefferson City Tennessee As a Home Health Physical Therapist , you will: Plan and administer prescribed skilled physical therapy treatment ..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide ... Description Job Description Summary The Manager, Care Management leads teams of ... multi-disciplinary care management team. The Manager, Care Management..
... Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... acumen to solve for the healthcare challenges of today. The Clinical ... years or more working in..
Description The Telephonic Nurse Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..
Description Healthcare isn't just about health anymore. It is about caring for family, friends, finances, and personal life goals. It's about living life fully. At the Primary Care Organization, a division ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..
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 ..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Job Information Humana Medical Director of Long Term Care, Florida in Brentwood Tennessee Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal member outcomes, ..