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Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... schedules and goals. Responsibilities The Manager, Utilization Management Nursing..
... compliance, and quality performance and staffing management. Detailed Responsibilities include: Leads ... Support development of national clinical staffing models and work with Medicaid ... with Medicaid markets to support..
Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... Care Management Team, the care manager..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... to administer the TRICARE health program for military members, retirees and ... through TRICARE and other military healthcare programs...
... Management Support Professional- Prescription Assistance Program-CenterWell-Remote in Portsmouth New Hampshire Description ... complexity. Responsibilities The Prescription Assistance Program Field Care Manager works specifically with both CenterWell ... medications from..
... supports the Long Term Care program in meeting optimal member outcomes, ... of services provided by other healthcare professionals in compliance with approved ... clinical resource for the LTC..
... Humana Clinical Analytics and Trend Program Manager in Portsmouth New Hampshire Description ... The Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... managers across the..
Job ID 21000A0ZAvailable 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 ..
... individual needs. Monitor and maintain staffing levels to meet care and ... years' experience working in the healthcare setting. Minimum two (2) years ... management. For Behavioral Health, C.M...
... commitment to the Quality Enhancement Program (QEP) and CQI Activities, including ... Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), ... a nurse.Collaborates with the Clinical..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
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 Nationwide Associate Director, Utilization Management Nursing in Portsmouth New Hampshire Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
... to administer the TRICARE health program for military members, retirees and ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care..
... and other members of the healthcare team to interpret, adjust, and ... Adheres to the FMCNA Compliance Program, including following all regulatory and ... evaluation. Participate in the department..
... your background and experience in program management to lead and manage ... of the segment PMO, ensuring staffing is appropriate to meet program and project needs, mitigating overall .....
Job Information Humana Telephonic Care Manager in Portsmouth New Hampshire Description ... Hampshire Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
Job ID 21000EIKAvailable 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 ..
Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..
... acumen to solve for the healthcare challenges of today. The Clinical ... home anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... team Low Value Care..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... New Hampshire Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Senior Project Manager -- Remote in Portsmouth New ... Hampshire Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
