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... RVP Health Services (CMO)relies on medical background to create and oversee ... needed) The CMO will provide medical leadership and strategy for the ... *Oversee regional utilization management and..
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Description The Director, Health Services utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... variable factors. Responsibilities Job Title:..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Description The Large Group Medical Underwriter computes rates for both ... Responsibilities As a Large Group Medical Underwriter you will make the ... the product. The Large Group Medical Underwriter..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..
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 ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
Description The Transplant Care Manager, Telephonic Nurse 2 , in ... of members. The Transplant Care Manager, Telephonic Nurse 2 work assignments ... home anywhere The Transplant Care Manager, Telephonic..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... caring for patients with complex medical and social needs and an ... combination of Utilization Management and..
SUMMARY: This is a Full Time/Permanent position that will be responsible for working with team members at or away from work in relationship to communicable disease. This includes performing enhanced symptom ..
... license' 2 years experience in medical case management or care coordination Comprehensive ... experiences Previous experience with electronic case note documentation and experienced with ... Preferred Qualifications Bi-Lingual (English/Spanish)..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The RN Care Manager, Telephonic Nurse..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
... services, monitors and evaluates the case management plan against the member's ... experiences in health care and/or case management. Intermediate to advanced computer ... information applications/software programs including electronic..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... quality and clinical compliance, and case management. Serve as a Humana ... necessary record components and requests medical records...
Description Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of a ..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... self-care to enhance quality of medical..
Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... Humana is seeking a Care Manager, Telephonic Behavioral..
