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Job Information Humana Manager, Behavioral Provider Contracting - Remote in Cincinnati Ohio Description The Manager, of Behavioral Health Provider Contracting ... area. Comprehensive knowledge of Managed Care in general and..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... schedules and goals. Responsibilities The..
Job Information Humana Medicaid Associate Director, Compliance Nursing in ... Director, Compliance Nursing in Cincinnati Ohio Description The Associate Director, Compliance ... Director, Compliance Nursing reviews utilization management activities and..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... you succeed, we succeed! The..
... provides strategic leadership for Humana's Ohio Medicaid Quality Program, in alignment with ... and investigations into quality of care concerns. This position has primary ... responsibility to operate a..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... determinations. The Associate Director, Utilization Management Nursing requires a solid understanding ... across department(s). Responsibilities As Humana's Medicaid..
Description The Care Manager, Telephonic Nurse 2 , in ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic..
... experience with requests for appropriate care and setting(s), guidelines and policies ... necessity review and level of care review for requested services. Educate ... providers on utilization and medical..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments are ... of action. Responsibilities The..
Description The Associate Director, Utilization Management Nursing uses clinical knowledge, communication ... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal care..
Description The Associate Director, Care Management leads teams of nurses and ... behavior health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of .....
