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Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..
Part-time position working in Georgetown, Milford and Dover, working weekends. Responsibilities include assisting with the day-to-day operations of the Family Visitation Center by ensuring a safe, healthy environment for supervised visits ..
Part-time position working with families and individuals who are homeless. Must be able to work evenings, overnights, weekends and holidays . Must be at least 21 years old and pass all ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Full-time position helping survivors of domestic violence to obtain housing and/or employment. This position requires safety-planning, community advocacy, and accompanying survivors to look at housing prospects. Experience in the field of ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
FT/PT positions available in out-patient mental health clinics in Smyrna and Millsboro. Flexible hours. Productivity bonuses for full-time. Stipend for CEU's. Payment for professional license and malpractice. Must be a Licensed ..
Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare Advantage in Dover Delaware Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Chinese and ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..
Full-time/Part-time position(s). Responsibilities include providing medication management and evaluations for mental health patients. Psychiatrist/Nurse Practioner Delaware license, DEA, and CSR required. Send letter of interest and resume to People's Place, Inc. ..
Description The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. The Coding Educator 2 work assignments are varied and frequently ..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..
Description The Actuary, Analytics/Forecasting will develop the financial forecast for the dental and vision benefits included within Humana's growing Medicare Advantage business, as well as pricing and oversight of other stand ..
