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... SUMMARYu003c/spanu003eu003c/strongu003eu003c/pu003enu003cpu003eu003cspanu003eUnder direct supervision of the Clinical Director/Administrator, this entry-level management position supervises ... with 2 years of direct clinical u003c/spanu003eu003c/liu003enu003cliu003eu003cspanu003eExperience providing intensive case management ... the team; ensures coordination..
... and transformative business results. Hematology Clinical Nurse Consultant Roles & Responsibilities ... Roles & Responsibilities Each Hematology Clinical Nurse Consultant (CNC) has a ... effectiveness of these interventions As..
... the completion of duties of clinical staff by supporting and clarifying ... provision and communicationu003cbr /u003eu0026bull; Maintains Clinical Quality Management Systemu003cbr /u003eu0026bull; Understands ... self-determinationu003cbr /u003eu0026bull; Communicates regularly with..
... Work tasks assigned in the clinical documentation system Work assigned UM ... alternative levels of care using clinical knowledge and benefit plan design ... alternatives, if appropriate by analyzing..
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 ..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... and/or benefit administration determinations. The Associate Director, Utilization Management Nursing requires a ... to grow,..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates ... business acumen. Responsibilities As the Director of Product Management for Clinical Pharmacy Products, you will be..
... 41) market leader in integrated healthcare with a clearly defined purpose ... experience and vitality of the associate community. Through offerings anchored in ... we are seeking an experienced..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director actively uses..
... Humana is a Fortune 60 healthcare company with a history of ... top place to work in healthcare, especially in areas of Diversity ... a personalized, seamless and easy..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
Description The Medical Director actively uses their medical background, ... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials,..
... closely with the market QI director on a frequent basis. Support ... expertise within the realm of Healthcare Quality operations and improvement methodology, ... measurement, and the improvement of..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title: Medical Director Location: Work..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Portland Maine ... in Portland Maine Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
