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... we will driveu00a0the future of healthcare.nnThis is an exceptional opportunity to ... Fortune Top 50 Company.nNurse Medical Management I/Utilization ReviewnLocation: W@H; GA preferrednSchedule: ... or Tuesday-Saturday.nRESPONSIBILITIES:nResponsible to collaborate with..
... with in-depth knowledge of the healthcare value chain, as well as ... disciplines. They partner with hospital management teams and clinical teams to ... occasionally with C-suite and senior..
... Wed, Thu, Fri). The Utilization Management RN utilizes clinical nursing skills ... benefit administration determinations. The Utilization Management RN work assignments are varied ... Soul. Join Us! The Utilization..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
Job Information Humana Enterprise Risk Management Lead-US-Remote in Indianapolis Indiana Description ... Description The Sales Conduct Risk Management Lead a critical member of ... of Humana's Third Party Risk Management..
Description The Utilization Management Nurse 1 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 1 work assignments are ... moderate complexity. Responsibilities The Utilization Management Nurse 1..
... Kentucky is seeking a Utilization Management Behavioral Health Professional to join ... join our team. The Utilization Management (UM) Behavioral Health (BH) Professional ... with Care Coordination and Case..
Description The Health Information Management Professional ensures data integrity for ... claims errors. The Health Information Management Professional work assignments are varied ... action. Responsibilities The Health Information Management Professional..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager, Registered ..
Description The Social Services Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction ..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... Soul. Join Us! The Utilization Management Nurse 2..
PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer support and case management for Fresenius Medical Care (FMCNA) renal patient population (internal and external) by providing guidance, support, care coordination, education ..
... life's best work.(sm) The utilization management (UM) manager is responsible for ... UM manager actively participates in management decision making to verify compliance ... and other clinical and medical..
... and possible participation in care management. The clinical scenarios predominantly arise ... health, or disease or care management. Medical Directors support Humana values, ... in teams focusing on quality..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist ... requests. The Oncology Staff Utilization Management Pharmacist work assignments involve moderately ... Responsibilities The Oncology Staff Utilization Management..
... SkillBridge, Military Spouse Fellowship Care Management Support Assistant in East Chicago ... Chicago Indiana Description The Care Management Support Assistant Intern will utilize ... wellbeing of members. The Care..
... Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral ... during the interview. The Utilization Management Behavioral Health Nurse completes medical ... sufficient clinical information. The Utilization..
