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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 Manager of Fraud and Abuse Data Analytics in Newport Rhode Island Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of ..
Job Information Humana Manager, Utilization Management RN - Remote ... Newport Rhode Island Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Newport Rhode Island Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying ..
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 ..
Job Information Humana Lead Product Manager - Group Dental, Vision and Life in Newport Rhode Island Description The Lead Product Manager Leads all phases of the product life cycle for Vision ..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH ... Rhode Island Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
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 Technical Product Manager - Remote in Newport Rhode Island Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Rhode Island Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
988 Lifeline Clinical Manager (Full Time) Location: East Providence, RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption accommodation is granted. Proof of ..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide ... Description Job Description Summary The Manager, Care Management leads teams of ... multi-disciplinary care management team. The Manager, Care Management..
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 ..
988 Lifeline Clinical Manager (Full Time) Location: East Providence, RI The 988 Crisis Call Center at BH Link is hiring a program manager who is dedicated to supporting an innovative program ..
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 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 ..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Newport Rhode Island Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. ..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
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..
Genesis is a leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. Why Genesis? We improve the lives we ..
988 Call Center Manager (Full Time) Location: East Providence, RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption accommodation is granted. Proof of ..
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 ..
Occupation: Practice Manager Species: Canine Feline Internal Number: Coventry RI Tiogue Veterinary Clinic in Coventry, RI is looking for a Hospital Manager to join our leadership team. The ideal candidate will ..