• Post - Acute Utilization…

    Humana (Jackson, MS)
    …require interpretation and independent determination of the appropriate courses of action. The Post - Acute Utilization Management Nurse 2: + Review ... caring community and help us put health first** The Utilization Management Nurse utilizes clinical nursing skills...1 or more years previous clinical experience in a Post - Acute clinical setting such as a SNF,… more
    Humana (01/25/25)
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  • Medical Director--Claims Management

    Humana (Jackson, MS)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (10/29/24)
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  • Medical Director - Gulf South

    Humana (Jackson, MS)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (12/03/24)
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  • Medical Director - Mid West Region

    Humana (Jackson, MS)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (10/29/24)
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  • National Medicaid Medial Director - Long Term…

    Humana (Jackson, MS)
    …and interpretation skills with 5+ years of experience focusing on quality management , utilization management , discharge planning, rehabilitation services, ... attend Fair Hearings. The clinical scenarios arise from outpatient, post - acute care; acute inpatient; LTC...Clinical Integration, Long Term Services & Supports, and Case Management . The Medical Director, as indicated, could need to… more
    Humana (01/25/25)
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  • AVP Respiratory - Sleep - EEG Services

    Intermountain Health (Jackson, MS)
    …and program evaluation. + Develops processes, tools, and policies for appropriate utilization management in collaboration with key stakeholders. + Supports ... and maintains positive relationships with medical staff, administration, hospital personnel, post - acute providers, payors, and other community entities. + Leads… more
    Intermountain Health (01/15/25)
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