• Post - Acute Utilization

    Humana (Montgomery, AL)
    …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 (Montgomery, AL)
    …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 (01/28/25)
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  • Medical Director - Gulf South

    Humana (Montgomery, AL)
    …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 (Montgomery, AL)
    …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 (01/28/25)
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  • National Medicaid Medial Director - Long Term…

    Humana (Montgomery, AL)
    …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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  • Medical Director

    Genesis Healthcare (Elmore, AL)
    …by a clinical leadership team with a decades-long track record of excellence in post - acute and long-term care. At AlignMed, we believe in a better quality ... Overview Sub- Acute , Long-Term Care is a sector of healthcare...Management and AlignMed Partners to oversee the implementation, utilization , and outcomes measurement of AlignMed Partners Clinical Programs.… more
    Genesis Healthcare (01/10/25)
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  • Attending Physician

    Genesis Healthcare (Elmore, AL)
    …by a clinical leadership team with a decades-long track record of excellence in post - acute and long-term care. At AlignMed, we believe in a better quality ... Overview Sub- Acute , Long-Term Care is a sector of healthcare...Centers and AlignMed Partners managers to oversee the implementation, utilization , and outcomes measurement of AlignMed Partners Clinical Programs… more
    Genesis Healthcare (01/10/25)
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  • Registered Dietitian - Remote

    Sharecare (Montgomery, AL)
    …of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, efficient, and cost-effective manner while ... the health care team to support appropriate total healthcare management . RD colleague is supervised by an Operations Manager....in the orientation and to take the pre and post -test to review competency during orientation. Yearly competency test… more
    Sharecare (01/28/25)
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