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Description The Manager, Provider Contracting manages a team of dental recruiters that initiates, negotiates, and executes dental provider contracts and agreements in alignment with the specialty growth strategy. The manager provider ..
Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Dover Delaware Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
... preference with judicious use of healthcare resources Educates physicians regarding InterQual ... for high-risk patients across the healthcare continuum. Ensures the delivery of ... is a national leader in..
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..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Dover Delaware Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
Job Information Humana Clinical Analytics and Trend Program Manager in Dover Delaware Description The Clinical Strategy and Practice Lead builds strategies for development, engagement, best clinical practices and processes for clinical ..
Job ID 21000GDAAvailable Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..
... 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 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..
Description Responsibilities The Telephonic 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 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 ..
Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management (Physical Health & Behavioral Health) who will lead our physical or behavioral health care management operations and staff to ..
THE DOR POSITION IS OPEN FOR A PT ONLY; SIGN ON BONUS AVAILABLE Make Your Mark. Be extraordinary. Bring your passion for improving lives to Genesis HealthCare, the nation's largest skilled ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Dover Delaware Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
Job Information Humana Telephonic Care Manager in Dover Delaware Description The ... Delaware Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
Job Information Humana Medical Director of Long Term Care, Florida in Dover Delaware Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal member outcomes, ..
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, ..
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 ..
... realization of high-quality and cost-effective healthcare.Foster continuous improvement of nursing services ... families' needs and expectations.Why Genesis?Genesis HealthCare is a leading provider of ... is a leading provider of..
Job Information Humana Senior Project Manager -- Remote in Dover Delaware ... Delaware Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
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 Care Manager, Telephonic Registered Nurse, (RN) 2 ... Dover Delaware Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..