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Description The Lead Medical Director relies on medical background and reviews health claims. The Lead Medical Director requires a solid understanding of how organization capabilities interrelate across department(s). Responsibilities The Lead ..
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Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Senior Accreditation Professional in Green Bay Wisconsin Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance ..
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Nurse Practitioner (Palliative) (Full Time 1st shift) Location: Mequon, WI (CSM) (53092), Milwaukee County (53211), Milwaukee, WI (corporate headquarters) (53224), Oak Creek, WI(53154), Ozaukee County (53092), Racine, WI (53403), Washington County ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
Now hiring for LPN's and Caregivers at Skaalen Retirement Services! Benefits of Working for Skaalen: -Health/Dental/Vision benefits -Sign-on bonus referral bonus -Shift differentials available -Paid on the job training We like ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
