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At Bristol Myers Squibb, we are inspired by a single vision - transforming patients' lives through science.In oncology, hematology, immunology and cardiovascular disease - and one of the most diverse and ..
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..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Sandy Utah Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Sandy Utah Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
Job ID 21000M8HAvailable 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 Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
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 ID 210006PPAvailable Openings 1Position Specific Information Full time 40 hours / week. Primary location in West Jordan UT with travel to Layton UT 1-2 times per week. Mileage is reimbursed ..
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 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 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..
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 ..
... Management Support Professional- Prescription Assistance Program-CenterWell-Remote in Sandy Utah Description The ... complexity. Responsibilities The Prescription Assistance Program Field Care Manager works specifically with both CenterWell ... medications from..
... 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..
... Humana Clinical Analytics and Trend Program Manager in Sandy Utah Description The ... The Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... managers across the..
... 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..
Job Information Humana Senior Project Manager -- Remote in Sandy Utah ... Utah Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
... 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..
... 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 Sandy Utah Description The ... Utah Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
PURPOSE AND SCOPE:Provide high quality patient care under the supervision of a physician, within the scope of training and education. Assess patient care plans and provides comprehensive patient care independently or ..
... 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..
