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Description The Project Manager 2 manages all aspects of ... manages all aspects of a project, from start to finish, so ... time and within budget. The Project Manager 2..
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 ..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... progress and performance against the..
... monitoring of Health and Wellness quality improvement projects; analyzing and summarizing ... improvement projects; analyzing and summarizing quality data related to Health and ... programs and services; and leading..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... facilitate the delivery of high..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Job Information Humana Manager, Care Management/HMS (RN FULLY BILINGUAL ... Juan Puerto Rico Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management..
PURPOSE AND SCOPE:The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals’ policies and procedures. Areas of practice are ..
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 ..
... whether services provided by other healthcare professionals are in agreement with ... training in transitions of care, quality assurance, utilization management and care ... focusing on transitions of care,..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
... whether services provided by other healthcare professionals are in agreement with ... participating in teams focusing on quality management, utilization management, case management, ... Delivery Systems, health insurance, other..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The RN Care Manager, Telephonic Nurse..
... the direction of the Facility Manager, Director of Nursing and/or Charge ... policies and procedures.PRINCIPAL DUTIES AND RESPONSIBILITIES:QUALITY:Responsible for supporting and driving organization ... for supporting and driving organization..
