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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 ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Boston Massachusetts Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
... dynamic, clinically savvy **District Sales Manager** to lead and manage a ... a specified budget. The District Manager will also recruit, hire, develop, ... assigned districts team. The District..
Job Information Humana Technical Product Manager - Remote in Boston Massachusetts Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases of ..
Quality & Analytics Manager, Home & Community Based Services ... a data-driven Quality & Analytics Manager to join the HCBS Waiver ... of HCBS Waiver Administration, the Manager will have..
POSITION FEATURES:Waltham, MA preferred location; however a remote work from home position.PURPOSE AND SCOPE:The Project Financial Manager is responsible for assisting the leadership team in the execution of projects/tasks in the ..
Job Information Humana Lead Product Manager - Group Dental, Vision and Life in Boston Massachusetts Description The Lead Product Manager Leads all phases of the product life cycle for Vision and ..
Job Information Kindred at Home RN Clinical Manager $25,000 Sign on Bonus in Boston Massachusetts $25,000 sign-on Bonus Available Position located in Sandwich, MA The Clinical Manager coordinates and oversees all ..
Description The Manager, Software Engineering codes software applications based on business requirements. The Manager, Software Engineering works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions ..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
... this role: As a Clinical Manager with Fresenius Medical Care, you ... advanced leadership. As a Clinical Manager, you may advance your career ... as the Home Therapies Program..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. The FKC master social ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Boston Massachusetts Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..
Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..
As we continue to expand and transform the primary care experience, we’re looking for energetic and passionate leaders to manage the people, processes, and technology that make One Medical unique. As ..
Job Information Kindred at Home RN Clinical Manager $25,000 Sign on Bonus in Plymouth Massachusetts $25,000 sign-on Bonus Available Position located in Sandwich, MA The Clinical Manager coordinates and oversees all ..
Job ID: 4052121 Application Deadline: Posted until Filled Posted: October 3, 2022 Starting Date: Immediately Job Description The RN Case Manager is a position through the Comprehensive School Health Services (CSHS) ..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH ... Boston Massachusetts Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..