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Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in ... City Florida Description The Clinical Vendor Management Lead works as clinical liaison ... vendors and organization. The Clinical..
Job Information Humana Care Coach 1 - St Johns County - FL in Panama City Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or ..
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... oversight of the end-to-end encounter management workflow for Humana Healthy Horizons ... and solutions to team members, management, and external entities is crucial ... and submission issues; communicate with..
... seeking an Associate Director, Care Management who will lead teams of ... health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of .....
... Humana RN, Associate Director, Utilization Management (Long Term Care) in Panama ... RN, Associate Director of Utilization Management for Long Term Care who ... RN, Associate Director of Utilization..
... Manage staff relations including performance management, staff satisfaction, and conflict management. Oversee scheduling, recruitment, payroll, and ... regulatory compliance, departmental contracts, and vendor relations. Ensure on-going compliance with .....
... health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works ... Humana systems and capabilities. Program Management experience PMP/PMI certification. Independent with ... and value..
