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Description The Manager, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Manager, Pre-Authorization ..
Description The Manager, Clinic/Center Administration plans and directs the work of professional and support personnel who provide outpatient care to patients in a clinical setting. The Manager, Clinic/Center Administration works within ..
... are looking for an IT Project Manager- level 1 to join our ... be doing? Assemble and lead project team, identify appropriate resources needed, ... to ensure timely completion..
Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
The Department of Medicine has an exciting opportunity for a Full-Time Practice Manager to work on the UHealth Campus. The Practice Manager provides administrative direction and coordination to the formulation, interpretation, ..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., ..
... for a Full Time Sr. Manager, Sponsored Programs. The Sr. Manager, Sponsored Programs directs and oversees ... the assigned facilities. The Sr. Manager operates with the goals of .....
Prestigious Awards and Fellowship (PAF) resides within the University's Office of Academic Enhancement. It promotes scholarship, ethical citizenship, and service to others while developing future leaders of our nation and the ..
Description The Field Care Manager, Behavioral Health 2 assesses and ... of members. The Field Care Manager, Behavioral Health 2 work assignments ... Responsibilities The Medicaid Field Care Manager Behavioral..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
Job ID 21000M56Available Openings 1PURPOSE AND SCOPE:Organizes the care and follow up for late stage CKD patients to ensure a planned transition into Renal Replacement Therapy (RRT). Focuses on improving the ..
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 ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description The Manager, Consumer Engagement oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and for product where warranted. The Manager, Consumer Engagement works within specific ..
Job Description Mission: Within the Innovation and Development department, the apllication specialists team of around 6 people supports the IBA project team on customer acceptance, training and commissioning of IBA Proton ..
... scope of license to the manager/supervisor n Supervision of (VITAS employed ... n participation in Performance Improvement Project(s) (PIP) n Gathering clinical data ... objectives personally and per Team..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Miami Florida Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
The Department of Patient Experience has an exciting opportunity for a Full-Time Patient Experience, Program Manager to work on the UHealth Campus. The Patient Experience, Program Manager is responsible for proactive ..
Description The Provider Contracting Manager initiates, negotiates, and executes physician, ... health insurance. The Provider Contracting Manager works on problems of diverse ... substantial. Responsibilities The Provider Contracting Manager communicates..
