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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 ..
Job Information Humana (RN)Associate Director, Care Management - Oklahoma City, OK in Tulsa Oklahoma Description The Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care ..
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 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 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 ..
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 ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Tulsa Oklahoma Description The ... Tulsa Oklahoma Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
... in the delivery of primary nursing care for patients with CKD. ... data and consult with physicians Nursing assessment. Provide Dialysis therapy including ... to supervisor, medical and operations..
Description The Quality Management Director provides strategic leadership for Humana's ... setting Responsibilities The Quality Management Director provides strategic leadership for Humana's ... lead for accreditation compliance. The Director has..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Tulsa Oklahoma Description The ... Tulsa Oklahoma Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
Job Information Humana RN Telephonic Transplant Care Manager-WAH in Tulsa Oklahoma Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to ..
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 ..
... operations. You will develop the nursing and clinical department goals, objectives, ... and implementing the Standards of Nursing Practice and the clinical operations ... of experience at a senior..
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..
... 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..