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Description Responsibilities The Your Home Advantage (YHA) Market Clinical Manager (MCM) will lead a team ... responsible for member outreach with In-Home Wellness Assessments (IHWA). The Market Clinical Manager provides..
... Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare ... Chinese and Korean Segment Medicare Advantage in Brentwood Tennessee Description The ... Tennessee Description The Lead Product..
... Information Humana Healthcare Lead Product Manager: Hispanic Segment Medicare Advantage in Brentwood Tennessee Description The ... Tennessee Description The Lead Product Manager Conceives of, develops, delivers, and ... customer..
... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials, internal teaching conferences, ... Medical Director Location: Work At..
Job Information Humana Manager, Utilization Management RN - Remote ... in Brentwood Tennessee Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... and/or benefit administration..
... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... will learn Medicare and Medicare..
... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... will learn Medicare and Medicare..
... will work closely with the clinical education and market implementation teams under the Humana ... Care Organization (PCO). Collaboratively with market leadership, you will train primary ... Subject Matter..
... variable factors that rely on clinical experience and knowledge of both ... resources, which may include national clinical guidelines, KDMS state policies, CMS ... policies, CMS policies and determinations,..
... resources which may include national clinical guidelines, Humana contract language, Humana ... and determinations, medical necessity criteria, clinical reference materials, internal teaching conferences, ... of moderately to highly complex..
... degree 5 years of direct clinical patient care experience post residency ... case management, discharge planning and/or home health or post-acute services (such ... or cable modem for a..
... Associate Director, Quality Assurance for Humana/Your Home Advantage (YHA) develops and implements programs ... and services pertaining to In Home Wellness Assessments. The Associate Director, ... and coding, organizational..
... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... assigned work with respect to..
Job Information Humana Director, Informatics in Brentwood Tennessee Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... assigned work with respect to market-wide objectives (e.g. Bold Goal) and ... degree 5 years of direct..