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Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... Demonstration). Responsibilities The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... (EFMP). Auditing for quality and clinical compliance,..
... Management Company dedicated to improving clinical and quality outcomes by bridging ... conducted by licensed and trained clinical practitioners who perform In-Home Wellness ... Job Description Summary Is the..
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Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Job ID 21000HRZAvailable Openings 2PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, ..
Description Responsibilities The ACD Referral Authorization Coordinator Lead role will assist the Supervisor in oversight & monitoring of processing and timeliness standards for referrals and authorizations under the Autism Care Demonstration ..
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 Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... healthcare challenges of today. The Clinical Analytics and Trend team uses ... techniques, data analysis,..
... for utilization management oversight and clinical decision-making as outlined in the ... Certified Behavior Analysts (BCBAs) conducting clinical necessity reviews in the delivery ... tools to assist in guiding..
... Your Home Advantage (YHA) Market Clinical Manager (MCM) will lead a ... Wellness Assessments (IHWA). The Market Clinical Manager provides leadership, clinical management and administrative oversight in ... advanced..
Job Information Humana Clinical Analytics and Trend Program Manager ... in Tampa Florida Description The Clinical Strategy and Practice Lead builds ... strategies for development, engagement, best clinical practices and..
... Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent ... for supporting new Medicaid Market..
