Healthcare Staffing Manager Jobs

Job Information Humana Medicaid Associate Director, Compliance Nursing in Jersey City New Jersey Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, ..

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 Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..

Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

Description Humana is seeking a Director of Strategy with significant strategy consulting experience to manage and deliver strategy projects and analysis on behalf of our Medicare Prescription Drug Plan business. You'll ..

Job Information Humana Manager of Fraud and Abuse Data ... New Jersey Description Responsibilities The Manager of Fraud and Abuse Data ... Qualifications 5 plus years of healthcare claims experience..

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... New Jersey Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Jersey City New Jersey Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work ..

Job Information Humana Medical Director of Long Term Care, Florida in Jersey City New Jersey Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal ..

... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care..

Job Information Humana Clinical Analytics and Trend Program Manager in Jersey City New Jersey Description The Clinical Strategy and Practice Lead builds strategies for development, engagement, best clinical practices and processes ..

Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..

Job Information Humana Manager, Care Management Social Services-WAH Nationwide ... Description Job Description Summary The Manager, Care Management leads teams of ... multi-disciplinary care management team. The Manager, Care Management..

Job Information Humana Senior Project Manager -- Remote in Jersey City ... Jersey Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..

... Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... acumen to solve for the healthcare challenges of today. The Clinical ... years or more working in..

Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..

Job Information Humana Telephonic Care Manager in Jersey City New Jersey ... Jersey Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..

Description The Care Delivery Tele Sales Supervisor supports and develops a team of Care Delivery Tele Sales Agents. The Care Delivery Tele Sales Supervisor provides timely and effective support to assist ..

... leader in medical technology and healthcare solutions were a market leader ... success. Together, we can transform healthcare. Join us for a career ... and/or outside symposiums. Assists district..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Jersey City New Jersey Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and ..