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Description The Problem, Incident and Event Management Engineer 2 monitors trends in incidents and system issues and helps drive technical support teams to recover services during periods of service disruption or ..
Description Healthcare isn't just about health anymore. ... of our members, and the healthcare industry as a whole. The ... a whole. The Health Information Management System Specialist - Las..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... goals. Responsibilities The Manager, Utilization Management Nursing..
... purpose is to provide care management program support resources to physicians, ... physicians, physician groups, and integrated healthcare delivery systems throughout the country. Healthcare isn't just about health anymore...
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The ..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Partners in Primary Care, a division of ..
Description The Care Management Support Assistant 3 contributes to ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care Management Support Assistant..
... and possible participation in care management. The clinical scenarios predominantly arise ... health, or disease or care management. Medical Directors support Humana values, ... whether services provided by other..
... in both the treatment and management of most chronic and acute-care ... Record (EMRs) or Health Information Management (HIMs) systems Knowledge of Excel, Word and ... to function effectively..
Description The Medical Assistant 2 is the first point of contact for patient care. Responsible for administrative duties in addition to patient care. The Medical Assistant 2 performs varied activities and ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
... look for a Senior Business Systems Analyst to join working remote ... the US! The Senior Business Systems Analyst performs analysis of business, ... requirement specifications. The Senior Business..
... care facility The Supervisor, Care Management Support will lead a team ... contributes to administration of care management. Provides non-clinical support to the ... of members. The Supervisor, Care..
... accuracy of formularies and utilization management (UM) criteria in the Formulary ... Collaborates with other pharmacists and healthcare professionals in a team environment ... an expert in Humana's formulary..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
... accounts and/or provider relations Associate management oversight of 3-5 direct reports ... 3-4 years of progressive network management experience including hospital contracting and ... and network administration in a..
Description The Senior Product Manager conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of ..
Description The Activity Coordination Assistant 1 ensures the day-to-day operations of the Wellness Center meets participant needs. The Activity Coordination Assistant 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine ..
... Director, Problem, Incident and Event Management drives technical support teams to ... Director, Problem, Incident and Event Management requires a solid understanding of ... Director, Problem, Incident and Event..
... the Associate Director, IT Project Management, you will use your background ... background and experience in program management to lead and manage a ... The Associate Director, IT Project..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... determinations. The Associate Director, Utilization Management Nursing requires a solid understanding ... process. The Associate Director, Utilization Management..
