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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... we succeed! The Manager, Utilization Management Nursing..
Job Information Humana Manager, Care Management(Behavioral Health) - Ohio Medicaid in ... is seeking Managers of Care Management who will lead our behavioral ... lead our behavioral health care management..
... meetings Required Qualifications Experience in healthcare, healthcare investigations, and/or risk management Supervisory or leadership experience Must ... Master's degree in Law, Business, Healthcare, or related field Extensive knowledge .....
... concepts to test Participates in vendor contract planning and implementing new ... or more years of product management experience and/or clinical implementation Leadership ... and Outlook Excellent organizational, time..
Job Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother Baby (Ohio Medicaid) in Maumee Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
... providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical management systems. Understands own work area ... plus. Previous experience in utilization..
Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Maumee Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, ..
Description Humana Healthy Horizons in Ohio is seeking a Care Guide/Care Guide Plus (Care Coach 1) who will assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness ..
Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Toledo Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, ..
... is seeking Managers of Care Management (Physical Health & Behavioral Health) ... physical or behavioral health care management operations and staff to ensure ... Functions and Responsibilities: Supervise care..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Description The Care Management Support Assistant 2 contributes to ... contributes to administration of Care Management. Provides non-clinical support to the ... for well-being Responsibilities The Care Management Support Assistant..
Job Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother Baby (Ohio Medicaid) in Toledo Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager ..
... OhioRISE Plan, and/or a Care Management Entity, or who choose to ... choose to receive their care management from the MCO. The BH ... Plan, CPCs, and/or a Care..
... Horizons is seekign a Utilization Management Nurse 2 who utilizes clinical ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... 40 Company! Responsibilities The Utilization..
