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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
Description The Manager, Care Management leads teams of nurses and ... health professionals responsible for care management. The Manager, Care Management works within specific guidelines and ... you succeed, we..
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 ..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... in Phoenix Arizona Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
... and possible participation in care management. The clinical scenarios predominantly arise ... health, or disease or care management. Medical Directors support Humana values, ... participating in teams focusing on..
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..
Description The Supervisor, Care Management Support contributes to administration of ... contributes to administration of care management. Provides non-clinical support to the ... of members. The Supervisor, Care Management Support..
... all aspects of the utilization/benefit management program. -Applies critical thinking and ... through the use of care management tools and resources. Evaluation of ... Through the use of care..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... Member Plan (EFMP), auditing for quality and clinical compliance, and case ... and clinical compliance, and case management. Serve..
Description Responsibilities Senior Care Manager, Behavioral Health (BCBA) This is ... position with responsibility for utilization management and clinical decision-making as outlined ... clinical information in various medical management systems...
... Vice President, Home Care Product Management for the Value-Based Division of ... the AVP, Home Care Product Management will partner across the enterprise ... the organizational competencies of product..
... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... of the Humana Military Care..
Job Information Humana Technical Product Manager - Remote in Phoenix Arizona ... Arizona Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... into the marketplace..
Description The Vendor Quality Medical Director will manage clinical ... Director will manage clinical vendor quality outcomes for Humana Clinical Operations ... Director to manage clinical vendor quality outcomes for..
Job Information Humana Manager, Care Management, CenterWell Las Vegas, Phoenix and ... is committed to providing personalized, high-quality primary care combined with an ... in both the treatment and management..
... career! Join the nursing center management team as a Unit Manager - LPN where you will ... unit for the delivery of high-quality and cost-effective health care while .....
... Information Centerwell Registered Nurse Case Manager Full Time in Peoria Arizona ... a Home Health RN Case Manager , you will: Provide admission, ... you will: Provide admission, case..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Phoenix Arizona Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Phoenix ... Description Job Description Summary The Manager, Care Management leads teams of social work ... contributing to the multi-disciplinary..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Phoenix Arizona The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of quality..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... Government. Responsibilities The Telephonic Care Manager will..
