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Description The Quality Assurance, Clinical Professional 2 consults and collaborates ... and quality. The Quality Assurance, Clinical Professional 2 work assignments are ... you should strongly consider the Clinical Quality..
... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..
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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 ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Glen Allen Virginia Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..
... to be part of Humana Clinical technologies team !!! You have ... solutions for Humana Healthcare Services Clinical technology tea. An opportunity to ... opportunity to build and expand..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Glen Allen Virginia Description Humana is looking for an experienced Healthcare Investigator to join its ..
... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials, internal teaching conferences, ... computer-based review of moderately complex..
Job Information Humana UM Administration Coordinator (M-F or Tu-Sa Schedules Available) - REMOTE/WORK AT HOME (Anywhere in the US) in Glen Allen Virginia Description The UM Administration Coordinator 2 contributes to ..
Job Information Humana UM Administration Coordinator 2 - Part Time - Work at Home (Friday-Sunday Schedule) in Glen Allen Virginia Description (Friday - Sunday Schedule) The UM Administration Coordinator 2 contributes ..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work ... Allen Virginia Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug ... and medical literature, while providing clinical support for..
Description Lead, Technology Solutions (Clinical UM) The Lead, Technology Solutions ... strategic technology partner for Humana's clinical business areas including Clinical Operations (focusing on Utilization management), ... Operations (focusing on..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Glen Allen Virginia Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special ..
About this job Find your commute Department Summary: Do you like being active and working hands-on with the latest cutting-edge technology? Join our J.D. Power award-winning In-Home Services team! Check out ..
... part of Humana within the Clinical IT area. We are looking ... test data management program. The Clinical Test Data Quality Lead will ... responsible for modeling the multiple..
... RN - Senior Stars Improvement, Clinical Professional - Work at home ... Description The Senior Stars Improvement, Clinical Professional responsible for the development, ... Program. The Senior Stars Improvement,..
Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..
