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... 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..
... 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 .....
... Management Support Professional- Prescription Assistance Program-CenterWell-Remote in Dover Delaware Description The ... complexity. Responsibilities The Prescription Assistance Program Field Care Manager works specifically with both CenterWell ... medications from..
... 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 Care Manager, Telephonic Behavioral Health 2 - ... to administer the TRICARE health program for military members, retirees and ... through TRICARE and other military healthcare programs...
... 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..
... reporting into the Remote Service Manager, you can be based in ... have established mandatory requirements for healthcare workers and others working in ... Medtronic** Together, we can change..
... 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 Telephonic Care Manager in Dover Delaware Description The ... Delaware Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
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 Nationwide Associate Director, Utilization Management Nursing in Dover Delaware Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
Job Information Humana Senior Project Manager -- Remote in Dover Delaware ... Delaware Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
... individual needs. Monitor and maintain staffing levels to meet care and ... years' experience working in the healthcare setting. Minimum two (2) years ... management. For Behavioral Health, C.M...
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 ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Dover Delaware Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... Care Management Team, the care manager..
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 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 ..
... and Wireless Service DiscountsEmployee Assistance Program to support mental healthEmployee Foundation ... realization of high-quality and cost-effective healthcare.Foster continuous improvement of nursing services ... families' needs and expectations.Why Genesis?Genesis..
... Humana Clinical Analytics and Trend Program Manager in Dover Delaware Description The ... The Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... managers across the..
... 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..