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Director, Referrals
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Humana
Located in Ohio
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at Humana in Dover, Delaware, United States Become a part of our caring
...
Details
Summary
About the job:
community and help us put health first Are you looking to join a team where you can be a part of our important mission of supporting the TRICARE healthcare program for our nation’s military and use your data skills? Humana Government Business is a top 10 Department of Defense contractor, with a long history in the TRICARE business and has been awarded the T-5 East Region, the next generation of military health contracts. The Director, Referrals process referrals from Military Treatment Facilities (MTFs) and civilian...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Security clearance
Certified Registered Nurse
Certified Professional in Healthcare Quality
Certified Managed Care Nurse
Certified Case Manager
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
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Medical Director - Gulf South Region
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Humana
Located in Ohio
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at Humana in Dover, Delaware, United States Become a part of our caring
...
Details
Summary
About the job:
community and help us put health first 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 an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Board Certified
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
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VP, Home Health Regional President
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Humana
Located in Ohio
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at Humana in Dover, Delaware, United States Become a part of our caring
...
Details
Summary
About the job:
community and help us put health first Humana, a $100 billion (Fortune 50) leader in integrated healthcare, is currently seeking an accomplished executive for the role of South Region President in the Home Health business of its CenterWell subsidiary. As one of the nation’s largest home health providers, CenterWell Home Health ( CWHH ) combines the stability and opportunities of a large national company with the ability to make a positive, local impact. We provide care for patients in their homes who are managing a...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
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Medical Director- South Central
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Humana
Located in Ohio
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at Humana in Dover, Delaware, United States Become a part of our caring
...
Details
Summary
About the job:
community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Board Certified
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
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VP, Operations Cost of Care
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Humana
Located in Ohio
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Become a part of our caring community and help us put health first The
...
Details
Summary
About the job:
current industry landscape presents challenges and the need for increased focus on new strategies to drive reduced medical costs. The need has emerged within Clinical Operations to re-purpose an existing leadership role and reorganize functions to create a designated function and leader for Utilization Management (UM) and Care Management (CM) cost of care strategies, to drive focus and accountability to identify, coordinate, drive and deliver strategies and initiatives related to curbing medical cost. This position is...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
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Associate VP, Clinical Strategy and Practice
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Humana
Located in Ohio
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at Humana in Dover, Delaware, United States Become a part of our caring
...
Details
Summary
About the job:
community and help us put health first The Associate VP, Clinical Strategy and Practice builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise. The Associate VP, Clinical Strategy and Practice requires an in-depth understanding of how organization capabilities interrelate across the segments and/or enterprise-wide. The Associate VP, Clinical Strategy and Practice decisions are typically related to intradepartmental coordination, development and...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Licensed Clinical Social Worker
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
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Clinical Manager Home Health Full Time
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Humana
Waco, TX
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Job Information Position Type: Full Time Certified Age-Friendly Become a
...
Details
Summary
About the job:
part of our caring community and help us put health first - Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. - Conducts/delegates the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company, physician, and/or health facility procedures/policies. - Manages the assignment of caregivers. - Responsible for and oversees the delivery of care to all patients served by the location. Receives case...
Location:
Waco, TX
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Driver's License
Certified Registered Nurse
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
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Center Administrator Assistant CenterWell Hunters Creek
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Humana
Florida
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Job Information Position Type: Full Time Certified Age-Friendly Become a
...
Details
Summary
About the job:
part of our caring community and help us put health first The Center Administrator Assistant supports a Center Administrator in the planning and directing of professional and support personnel who provide outpatient care to patients in a clinical setting. The Center Administrator Assistant works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of...
Location:
Florida
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
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Center Administrator - Brook Road
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Humana
Richmond, VA
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Job Information Position Type: Full Time Certified Age-Friendly Become a
...
Details
Summary
About the job:
part of our caring community and help us put health first The Manager, Clinic/Center Administration plans and directs the work of professional and support personnel who provide outpatient care to patients in a clinical setting. The Manager, Clinic/Center Administration works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. CenterWell Senior Primary...
Location:
Richmond, VA
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
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Clinical Manager, Home Health Full Time
Quick view
Humana
Lincolnton, NC
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Job Information Position Type: Full Time Certified Age-Friendly Become a
...
Details
Summary
About the job:
part of our caring community and help us put health first - Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. - Conducts/delegates the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company, physician, and/or health facility procedures/policies. - Manages the assignment of caregivers. - Responsible for and oversees the delivery of care to all patients served by the location. Receives case...
Location:
Lincolnton, NC
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Driver's License
Certified Registered Nurse
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
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