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Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Bradenton Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
Job Information Humana Provider Contracting Professional 2 - Work at Home in Florida in Saint Petersburg Florida Description Positions is responsible for the education of Managed Long Term Care (MLTC) Medicaid ..
OverviewAt HealthPro Heritage we hire people who share our vision, who work diligently and provide the kind of care that will help change patient's lives for the better. As an Associate, ..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
Job ID 21000MBLAvailable Openings 1PURPOSE AND SCOPE: Under the direction of a Kidney Care Advocate Manager, collaborates with internal and external care teams, to ensure a positive experience for every patient ..
Job Information Centerwell RN Admissions Home Health Full Time in Sarasota Florida The Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by physician, performs ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Sarasota Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Sun City Center Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
... to support diagnosis and home healthcare orders. Provide input to care ... Specialist, Director Clinical Management, and/or Manager Clinical Practice) of patient’s acceptance, ... care coordination skills required. Previous..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Saint Petersburg Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor ..
