THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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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 ..
... and other members of the healthcare team to interpret, adjust, and ... requirements. PRINCIPAL DUTIES AND RESPONSIBILITIES: General and Staff Related: Provide day ... Recommend disciplinary action to Clinical..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description Humana Healthy Horizons in Ohio is seeking a Care Guide/Care Guide Plus (Care Coach 1) who will assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness ..
Description Humana is a $90 billion (Fortune 40) 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 Humana Healthy Horizons in Ohio is seeking Managers of Care Management (Physical Health & Behavioral Health) who will lead our physical or behavioral health care management operations and staff to ..
Description Humana Healthy Horizons is seeking a Pre-Authorization Nurse 1 who will review prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forwards requests ..
