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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 ..
... compliance, and quality performance and staffing management. Detailed Responsibilities include: Leads ... Support development of national clinical staffing models and work with Medicaid ... with Medicaid markets to support..
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..
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...
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 ..
... 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..
... commitment to the Quality Enhancement Program (QEP) and CQI Activities, including ... PCT’s. Collaborates with the Clinical Manager and Education Coordinator in driving ... Clearance Monitoring (OLC), Adequacy Monitoring..
Job Information Humana Telephonic Care Manager in Colorado Springs Colorado Description ... Colorado Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
... designation into the Clinical Advancement Program for Registered Nurses. The CAP ... under the direction of the Program Manager with guidance from the Educator, ... and formal Home Dialysis..
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 ..
... 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 ... Springs Colorado Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
SCOPE The Behavioral Health Clinical Director is primarily responsible for leading and directing the organizations medically necessary services that are referred to the organization. This position will supervise the Behavioral Health ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Colorado Springs Colorado Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
... 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 .....
... Nursing Assistant (CNA) | Facility Staffing | PRN Interim Full-time Colorado ... Interim MGA Homecare Wellpath Favorite Healthcare Staffing Nearby locations Parker, CO Pueblo, ... Jobs Truck Driver Jobs..
Job Information Humana Senior Project Manager -- Remote in Colorado Springs ... Colorado Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
... of the MRA team, the Manager will work closely with market ... metrics and match the right program to Value-based groups, put together ... HCC documentation and coding audits,..
... Management Support Professional- Prescription Assistance Program-CenterWell-Remote in Colorado Springs Colorado Description ... complexity. Responsibilities The Prescription Assistance Program Field Care Manager works specifically with both CenterWell ... medications from..
... Humana Clinical Analytics and Trend Program Manager in Colorado Springs Colorado Description ... The Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... managers across the..
Welcome to Centura Health:At Centura Health, we're on a mission to heal individuals and uplift communities. We have locations throughout Colorado, Utah, and western Kansas, giving you opportunity to grow your ..
Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
