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Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration determinations. The Manager, Utilization Management Nursing..
... to make determinations whether requested services, requested level of care, and/or ... and appeals processes, and outpatient services and equipment, within their scope. ... medical interpretation and determinations whether..
... in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who ... and communication of behavioral health services and/or benefit administration determinations. The ... and/or benefit administration determinations. The..
... to make determinations whether requested services, requested level of care, and/or ... medical interpretation and determinations whether services provided by other healthcare professionals ... and the Regional VP Health..
... to make determinations whether requested services, requested level of care, and/or ... and appeals processes, and outpatient services and equipment, within their scope. ... and/or home health or post-acute..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Details: SUMMARY: This position will collaborate and act as a liaison between injured team members plant management medical providers and corporate workers compensation to ensure that all necessary information and ..
Job Information Humana Manager, Utilization Management RN - Remote ... in Springfield Missouri Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit..
Job Information Humana Medical Director - S. Florida in Springfield Missouri Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
... and reviews preauthorization requests for services. The Medical Director work assignments ... medical interpretation and determinations whether services provided by other healthcare professionals ... medical interpretation and determinations whether..
Job Information Humana Medical Director - Texas in Springfield Missouri Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... in Springfield Missouri Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit..
... decisions about the appropriateness of services provided by other healthcare professionals ... medical interpretation and determinations whether services provided by other healthcare professionals ... and the Regional VP Health..
... Louisiana is seeking a Addictionologist/Addiction Services Manager (ASM) who will be responsible ... implementation of Humana Medicaid's Addiction Services in Louisiana, serving the needs ... groups who may qualify..