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... served. *Determines and performs within clinical, leadership and/or education pathways to ... service and performance improvement. *Exhibits clinical expertise in rapidly changing circumstances. ... *Functions as role model for..
... served. Determines and performs within clinical, leadership and/or education pathways to ... service and performance improvement. *Exhibits clinical expertise in rapidly changing circumstances. ... *Functions as role model for..
... 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 Associate Director, Quality Assurance for Humana/Your Home ... In Home Wellness Assessments. The Associate Director, Quality Assurance requires a solid ... and coding, organizational capabilities and clinical care..
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..
... served *Determines and performs within clinical, leadership and/or education pathways to ... service and performance improvement. *Exhibits clinical expertise in rapidly changing circumstances. ... *Functions as role model for..
Description The Director, Health Services utilizes clinical nursing skills to support the ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... segment. Responsibilities The SC Medicaid..
... Make the most of your clinical skills at an organization that ... has earned numerous awards for clinical excellence. Based in Roanoke, VA, ... served. Determines and performs within..
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..
... 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 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 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..
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 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,..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Glen Allen ... Glen Allen Virginia Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
Description Responsibilities The Senior Clinical Insights Professional delivers clinical policy insight and information to ... Government Business (HGB). The Senior Clinical Insights Professional will draft and ... will draft and..
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..
... 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..