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Description The Senior Clinical Strategy and Practice Professional begins ... with impacts to claims payments; clinical and quality programs; service delivery ... or more years of previous management/supervisor level experience..
... Director, Utilization Management to utilize clinical nursing skills to support the ... Associate Director, Utilization Management uses clinical knowledge, communication skills, and independent ... the South Florida FCM's, After-hours/weekend..
... a long-term care facility The Supervisor, Care Management Support will lead ... administration of care management. Provides non-clinical support to the assessment and ... and wellbeing of members. The..
Job Information Humana Manager, Care Management (Illinois Medicaid) - The Greater Chicago Area in Chicago Illinois Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for ..
Job Information Humana Pre-Authorization Nursing Supervisor - Remote Florida in Tampa ... in Tampa Florida Description The Supervisor, Pre-Authorization Nursing reviews prior authorization ... to the appropriate stakeholder. The Supervisor,..
Description The Grievance and Appeals Manager leads a team of 4-6 Supervisors and over 100 associates managing client denials and concerns. The team is conducting a comprehensive analytic review of clinical ..