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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..
... Humana Clinical Analytics and Trend Program Manager in Salem Oregon Description The ... The Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... managers across the..
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 ..
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 ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Salem Oregon Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
... designation into the Clinical Advancement Program for Registered Nurses. The CAP ... enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: ... under the direction of the..
Apply Now Share this job Send yourself a reminder Alert me to jobs like this one RN Case Manager, Full-Time Willamette Valley Hospice Willamette Valley Hospice is a non-profit business that ..
A non-profit, integrated healthcare delivery system is seeking a ... seeking a Family Medicine Residency Program Director to join their team ... resident evaluations, resident feedback, and program improvement between..
... 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..
... 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..
Description Responsibilities Senior Care Manager, Behavioral Health (BCBA) This is a non-exempt position with responsibility for utilization management and clinical decision-making as outlined in the Autism Care Demonstration (ACD) defined in ..
... Management Support Professional- Prescription Assistance Program-CenterWell-Remote in Salem Oregon Description The ... complexity. Responsibilities The Prescription Assistance Program Field Care Manager works specifically with both CenterWell ... medications from..
Job Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... Oregon Description The Behavioral Economics Program Management Lead designs, executes, and ... large-scale experiments. The Behavioral Economics..
JOB SUMMARY The RN Clinic Practice Manager II will be responsible for ensuring care quality and oversight for high volume urgent care services at our Blacksburg, VA VelocityCare / Urgent Care ..
... commitment to the Quality Enhancement Program (QEP) and CQI Activities, including ... PCT’s. Collaborates with the Clinical Manager and Education Coordinator in driving ... Clearance Monitoring (OLC), Adequacy Monitoring..
Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..
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 Care Manager, Telephonic Behavioral Health 2 - ... to administer the TRICARE health program for military members, retirees and ... through TRICARE and other military healthcare programs...
Job Information Humana Senior Project Manager -- Remote in Salem Oregon ... Oregon Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
Job ID 21000JI0Available 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 ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Salem Oregon Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..