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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
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Looking for superhero personnel! Provides personal care services under the direction of Administrator, Employee Care Manager, Client Care Manager, Intake Specialist and COO. Performs services for the clients as necessary to ..
Description Responsibilities The Senior Clinical Insights Professional delivers clinical policy insight and information to both internal and external customers for Humana Government Business (HGB). The Senior Clinical Insights Professional will draft ..
Description In order to make lasting, positive impact and change in the healthy equity of the communities we serve, leveraging the support of key stakeholders will be critical. As healthy equity ..
... the member's physician and medical director for appropriate interventions Works closely ... managers, attendings, PCP and medical director, community agencies and other approved ... vendors to ensure the member's..
Job Information Humana Medicaid Associate Director, Compliance Nursing in San Antonio ... Antonio Texas Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Hiring Superhero Personnel! General Description Provides personal care services under the direction of Administrator, Employee Care Manager, Client Care Manager, Intake Specialist and COO. Performs services for the clients as necessary ..
Description Healthcare is rapidly changing, and our ... teams across Humana Responsibilities The Director, Clinical Management Strategy and Implementation, ... goals for care management. The Director must also be able..
Description Humana is a $77 billion (Fortune 41) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates transplant members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..
Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. The ... the member's physician and medical director for appropriate interventions* Works..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..