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Job Information Humana Manager, Behavioral Provider Contracting - Remote in Newport Rhode Island Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Newport Rhode Island Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..
Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in ... Rhode Island Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... wellbeing of members...
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Newport Rhode Island Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Newport Rhode Island Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Newport Rhode ... Rhode Island Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... wellbeing of..
Grand Islander is now hiring for a Weekend DON - 7p Friday to 7a Monday Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care ..
Bring your business intelligence to Genesis as our Revenue Cycle Manager. In a defined geographic territory, you will be responsible for proactive cash collections and business office performance achievement for all ..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Newport Rhode Island Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and ..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... is seeking a Telephonic..
... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care Manager will assist beneficiaries as they ... Military TRICARE - PDC Care..
Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..
Are you an experienced OR Nurse with progressive leadership experience? An ... available as an Operating Room Nurse Manager at a well respected hospital ... staff members. This Operating Room..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about ... and work independently. Responsibilities..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... is seeking a Telephonic..
Genesis is a leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. Why Genesis? We improve the lives we ..
Description We are seeking a talented and experienced Senior Product Manager to lead the development of our innovative clinical data products, focusing on data-driven clinical insights using the latest cloud technology. ..
Job Information Humana Manager, Utilization Management RN - Remote ... Newport Rhode Island Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..