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... section 4. Responsibilities The UM Manager will lead a team of ... clinical necessity reviews in the delivery of care to a specific ... when approving all TPs, ABA..
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Description The Senior Product Manager - Fully Insured supports strategy ... Fully Insured supports strategy development, delivery, and management of the 100 ... business. Responsibilities The Senior Product Manager supports..
... Humana is a Fortune 60 healthcare company with a history of ... developing a robust integrated care delivery model that integrates insurance with ... top place to work in..
... care, and/or requested site of service should be authorized. All work ... inpatient, post-acute care environments, outpatient service requests, ER review, pharmacy review ... whether services provided by other..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, and progressive approaches ... Government. Responsibilities The Telephonic..
Description The Transplant Care Manager, Telephonic Nurse 2 , in ... of members. The Transplant Care Manager, Telephonic Nurse 2 work assignments ... home anywhere The Transplant Care Manager, Telephonic..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
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 The Clinical Recruiter recruits and interviews prospective employees for hourly and salaried positions for our Care Delivery Organization. Humana is seeking a recruiter who is a self-starter, able to work ..
... training programs to support the delivery of quality patient care as ... PCT’s. Collaborates with the Clinical Manager and Education Coordinator in driving ... directed. Monitors processes in the..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, and progressive approaches ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary...
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
... implementing Humana's AKS (Azure Kubernetes Service) and GKE (Google Kubernetes Engine) ... align on story sizing and delivery planning Explain the why and ... have evaluated, selected and designed..
RN - On-Call Night Visit Nurse - Hospice (Full Time 3rd shift) Location: Milwaukee, WI (corporate headquarters) (53224) This on-call, 8:00pm - 8:00am opportunity allows you to enjoy the ability to ..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... schedules and goals. Responsibilities The Manager, Utilization Management Nursing..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... schedules and goals. Responsibilities The Manager, Care Management oversees..
... requirements of the health care delivery system. Direct clinical activities, including ... patient assessment, care plan development, service level determination, patient visits, and ... and more than 100 related..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Green Bay Wisconsin Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..
Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..
RN - Weekend RN - Home Care Racine/Kenosha (Other) Location: Oak Creek, WI(53154), Racine, WI (53403), Kenosha, WI (53140) You became a nurse to help people. You desire to see that ..
RN - Weekend RN - Home Care Oak Creek (Other) Location: Oak Creek, WI(53154) You became a nurse to help people. You desire to see that the attentive care you provide ..
