-
Humana
-
Carson City, Nevada
...
communication of medical services and/or benefit administration determinations. The Utilization Management Nurse ... the appropriate courses of action.
The Utilization Management Nurse 2 uses clinical knowledge
...
-
CVS Health
-
Carson City, Nevada
...
opportunities to promote quality effectiveness of healthcare services and benefit utilization.
Consults ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization
...
-
CVS Health
-
Carson City, Nevada
...
opportunities to promote quality effectiveness of healthcare services and benefit utilization.
Consults ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization
...
-
Humana
-
Carson City, Nevada
...
determinations whether services provided by other healthcare professionals are in agreement with national ... / Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management
...
-
Humana
-
Carson City, Nevada
...
medical interpretation and determinations whether services provided by other healthcare professionals are ... in teams focusing on quality management, utilization management, case management, discharge planning
...
-
Humana
-
Carson City, Nevada
...
Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 ... Humana insurance services and CenterWell healthcare services, we make it easier for the millions of
...
-
Humana
-
Carson City, Nevada
...
medical interpretation and determinations whether services provided by other healthcare professionals are ... in teams focusing on quality management, utilization management, case management, discharge planning
...
-
Humana
-
Carson City, Nevada
...
teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare ... , long-term relationships with physicians, providers and healthcare systems to support and improve
...
-
Humana
-
Carson City, Nevada
...
determinations whether services provided by other healthcare professionals are concordant with national ... , with prior experience participating in teams focusing on quality management, utilization management
...
-
Humana
-
Carson City, Nevada
...
resource utilization and overall process improvement related to workforce management strategies
Self ... , our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare
...
-
Humana
-
Carson City, Nevada
...
healthcare and operational data to support healthcare utilization investigations, while working ... .
Experience with how utilization management (UM) and regulatory guidance can influence clinical strategies
...
-
Humana
-
Carson City, Nevada
...
focusing on quality management, utilization management, case management, discharge planning and/or home ... / Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management
...
-
Humana
-
Carson City, Nevada
...
healthcare providers.
Utilization management experience in a medical management review organization ... quality management, utilization management, and acute inpatient rehabilitation.
Preferred
...
-
Humana
-
Carson City, Nevada
...
, other healthcare providers, clinical group practice management.
Utilization management experience ... medical interpretation and determinations whether services provided by other healthcare professionals are
...
-
Humana
-
Carson City, Nevada
...
company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for ... business priorities and plans to the senior management team and broader organization. Outstanding written
...
-
Humana
-
Carson City, Nevada
...
specific healthcare areas such as EMR, Episode grouper, utilization management, value-based care, low value ... company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for
...
-
Intel
-
Carson City, Nevada
...
opportunity globally, assessing resource utilization, maintaining project management systems, tracking project ... , including retail, enterprise and government, cloud services and healthcare as examples. The operations team
...
-
Highmark Health
-
Carson City, Nevada
...
captures all inbound phone inquires for utilization management review from providers and pharmacies. The ... Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc
...
-
Teradata
-
Carson City, Nevada
...
confidence and drive utilization of Teradata software and services through education and strategy sessions to ... trust at different customer levels including senior/executive management, IT decision makers all leading
...
-
Humana
-
Carson City, Nevada
...
and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve ... expertise and management reporting to improve sales performance and increase market share. Develop go to
...
-
Humana
-
Carson City, Nevada
...
of services provided by other healthcare professionals in compliance with review policies, procedures ... improving consumer experiences
Preferred Qualifications
Medical utilization management
...
-
Oracle
-
Carson City, Nevada
...
Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Disclaimer ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
...
-
Oracle
-
Carson City, Nevada
...
Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Disclaimer ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
...
-
Intel
-
Carson City, Nevada
...
industries, including retail, enterprise and government, cloud services and healthcare as examples. The ... and solutions.
Collaborates with global cloud service providers (CSPs), digital services/SaaS
...
-
Oracle
-
Carson City, Nevada
...
Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Disclaimer ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
...
-
Oracle
-
Carson City, Nevada
...
Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Disclaimer ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
...
-
HealthEdge Software Inc
-
Carson City, Nevada
...
Overview
Overview:
Reporting to the VP Customer Transformation, Professional Services, the Delivery Executive is responsible for the successful delivery of Professional Services to a
...
-
Humana
-
Carson City, Nevada
...
and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve ... best practices and system utilization.
Participate in system upgrades, testing, and the
...
-
Oracle
-
Carson City, Nevada
...
Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
#LI-DNI ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
...
-
Oracle
-
Carson City, Nevada
...
Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Disclaimer ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
...
