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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 ..
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 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, ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... South Carolina Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
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 ..
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..
... 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 Nationwide Associate Director, Utilization Management Nursing in Lancaster South Carolina Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
... social wellness. Responsibilities The Project Manager manages all aspects of a ... and within budget. The Project Manager's work assignments are varied and ... appropriate courses of action. Project..
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 ..
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 Details: Occupational health nursing is the specialty practice that delivers health and safety programs and services to workers and worker populations. The practice focuses on promotion and restoration of health, ..
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 ..
Job Information Humana Senior Project Manager -- Remote in Lancaster South ... Carolina Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
Job Information Humana Manager of Fraud and Abuse Data ... South Carolina Description Responsibilities The Manager of Fraud and Abuse Data ... Qualifications 5 plus years of healthcare claims experience..
Job Information Humana Clinical Analytics and Trend Program Manager in Lancaster South Carolina Description The Clinical Strategy and Practice Lead builds strategies for development, engagement, best clinical practices and processes for ..
Job Information Humana Telephonic Care Manager in Lancaster South Carolina Description ... Carolina 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 ..
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 Centerwell Physical Therapist Home Health Full Time in Monroe North Carolina As a Home Health Physical Therapist , you will: Plan and administer prescribed skilled physical therapy treatment and ..
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 The Care Delivery Tele Sales Supervisor supports and develops a team of Care Delivery Tele Sales Agents. The Care Delivery Tele Sales Supervisor provides timely and effective support to assist ..
Job ID 21000MB5Available Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..