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Description The Director of Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Chicago Illinois Description The ... Chicago Illinois Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
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, ..
... in conjunction with the Branch Director and Company Finance Department to ... Resources Department and the Executive Director/Director of Operations. Participates in the ... of emergency. Acts as Branch..
Department objectives are: to develop, implement, and oversee a pro-active claims and risk management program, ensuring a consistent and optimal approach in controlling loss experience, and minimizing indemnity and expense payments. ..
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 ..
Immediate need for Interim Director of Nursing Join a Skilled Nursing Facility west of Chicago, IL and utilize your skills as an Interim DON! Illinois RN License and SNF Experience Required. ..
Licensed Practical Nurse - (LPN) The Birches Assisted Living (1) OPENING: FULL TIME- 6:30A-3PM When you join The Birches, you join a Successful Aging Community. We believe that each one of ..
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 ..
OverviewPOSITION SUMMARY: Reports to the OSF INI Director, Clinical Systems of Care and supports the Ministry Medical Director of Stroke and local Medical Director for Stroke. Contributes to program growth and ..
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 ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Chicago Illinois Description The ... Chicago Illinois Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
... full-time, ongoing Assistant/Associate professor of nursing position. The successful candidate will ... launching a dynamic masters in nursing program that will include the ... direction of the MSN Program..
Description Responsibilities The Director, Health Services uses clinical knowledge, communication and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or ..
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 ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description SHIFT: Day JobSCHEDULE: Full-timeYour Talent. Our Vision. At Anthem, Inc., itu2019s a powerful combination, and the foundation upon which weu2019re creating greater access to care for our members, greater value ..
Description SHIFT: Evening JobSCHEDULE: Full-timeYour Talent. Our Vision. At Anthem, Inc., itu2019s a powerful combination, and the foundation upon which weu2019re creating greater access to care for our members, greater value ..
Oncology/Hematology Nurse Practitioner Opportunity in Maryville, IL! This group is powered by 2 Physicians, and an engaged support staff focused on quality patient care. Nurse practitioner required, and oncology/hematology background preferred. ..
... the supervision of the Chief Nursing Officer, provides leadership and oversight ... Recognition Program® standards to promote nursing excellence, empowerment through shared governance, ... Serves as a liaison for..
Immediate need for Interim Director of Nursing Join a Skilled Nursing Facility west of Chicago, IL and utilize your skills as an Interim DON! Illinois RN License and SNF Experience Required! ..
Job Information Humana RN Telephonic Transplant Care Manager-WAH in Chicago Illinois Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to ..