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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 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..
... for Change Orders, for ACD Program Integrity Audit; driving to operational ... team to work with ACD Program Integrity leadership, develop new, or ... leadership, develop new, or change..
... your background and experience in program management to lead and manage ... of the segment PMO, ensuring staffing is appropriate to meet program and project needs, mitigating overall .....
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... to administer the TRICARE health program for military members, retirees and ... through TRICARE and other military healthcare programs...
Job Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... Tennessee Description The Behavioral Economics Program Management Lead designs, executes, and ... large-scale experiments. The Behavioral Economics..
... supports the Long Term Care program in meeting optimal member outcomes, ... of services provided by other healthcare professionals in compliance with approved ... clinical resource for the LTC..
Job Information Humana Manager of Fraud and Abuse Data ... Brentwood Tennessee Description Responsibilities The Manager of Fraud and Abuse Data ... correspondence. KEY ACCOUNTABILITIES 30% Manages Program Integrity team..
Description Healthcare isn't just about health anymore. It is about caring for family, friends, finances, and personal life goals. It's about living life fully. At the Primary Care Organization, a division ..
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 ..
... Humana Clinical Analytics and Trend Program Manager in Brentwood Tennessee Description The ... The Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... managers across the..
... Management Support Professional- Prescription Assistance Program-CenterWell-Remote in Brentwood Tennessee Description The ... complexity. Responsibilities The Prescription Assistance Program Field Care Manager works specifically with both CenterWell ... medications from..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... acumen to solve for the healthcare challenges of today. The Clinical ... home anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... team Low Value Care..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Brentwood Tennessee Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Senior Project Manager -- Remote in Brentwood Tennessee ... Tennessee Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
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 ..
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 The Telephonic Nurse Care Manager will be part of the ... condition/disease. The Telephonic Nurse Care Manager will assess, plan, coordinate, implement, ... Team, the Telephonic Nurse Care Manager..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Brentwood Tennessee Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
... to administer the TRICARE health program for military members, retirees and ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care..
Job Information Humana Telephonic Care Manager in Brentwood Tennessee Description The ... Tennessee Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
