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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... we succeed! The Manager, Utilization Management Nursing..
Description Humana Healthy Horizons in Ohio is seeking a Care Guide/Care Guide Plus (Care Coach 1) who will assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness ..
... Kentucky is seeking a Utilization Management Behavioral Health Professional to join ... join our team. The Utilization Management (UM) Behavioral Health (BH) Professional ... with Care Coordination and Case..
Description The Care Management Support Assistant 2 contributes to ... contributes to administration of Care Management. Provides non-clinical support to the ... for well-being Responsibilities The Care Management Support Assistant..
... OhioRISE Plan, and/or a Care Management Entity, or who choose to ... choose to receive their care management from the MCO. The BH ... Plan, CPCs, and/or a Care..
Job Information Humana Care Coach - Kentucky Medicaid in Huntington West Virginia Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state ..
... is seeking Managers of Care Management (Physical Health & Behavioral Health) ... physical or behavioral health care management operations and staff to ensure ... Functions and Responsibilities: Supervise care..
Job Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother Baby (Ohio Medicaid) in Ironton Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager ..
... providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical management systems. Understands own work area ... plus. Previous experience in utilization..
Job Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother Baby (Ohio Medicaid) in Portsmouth Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager ..
... concepts to test Participates in vendor contract planning and implementing new ... or more years of product management experience and/or clinical implementation Leadership ... and Outlook Excellent organizational, time..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
... meetings Required Qualifications Experience in healthcare, healthcare investigations, and/or risk management Supervisory or leadership experience Must ... Master's degree in Law, Business, Healthcare, or related field Extensive knowledge .....
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Portsmouth Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, ..
Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Ironton Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, ..
... for a seasoned RN, with management experience, to lead this 160 ... realization of high-quality and cost-effective healthcare.*Foster continuous improvement of nursing services ... families' needs and expectations.Why Genesis?Genesis..
