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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Description The Associate Director, Care Management leads teams of ... for care management. The Associate Director, Care Management requires a solid ... across department(s). Responsibilities The Associate Director, Care Management..
Job Title: Certified Nurse Aide Reports to: Director of Nursing/Supervising RN Essential Duties and Responsibilities 1. Takes and records client’s vital signs. 2. Blood pressure cuff, stethoscope, and gait belt are ..
... the Chief Medical Officer (CMO)/Medical Director to review PA requests. The ... medical equipment, outpatient therapies, skilled nursing facility therapies, and all outpatient ... for forwarding to the CMO/Medical..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Colorado Springs Colorado Description ... Springs Colorado Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
Description The Director, Health Services Nursing serves as the strategic leader ... building out clinical capabilities. The Director will be responsible for driving ... and financial stewardship Responsibilities The Director,..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... benefit administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding of..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Description Humana has articulated a long-term vision to transform from a health insurance company to a health services company distinguished by the prioritization of the health outcomes of our members. By ..
Welcome to Centura Health:At Centura Health, we're on a mission to heal individuals and uplift communities. We have locations throughout Colorado, Utah, and western Kansas, giving you opportunity to grow your ..
Description The Compliance Nurse 2 reviews medical management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Colorado Springs Colorado Description ... Springs Colorado Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
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 Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
