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Clinical Resource Optimization Specialist, RN

Humana
Oklahoma

Utilization Management Nurse 2 The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical knowledge and clinical criteria to solve moderately complex problems. Responsibilities Use clinical knowledge, communication skills, and independent critical thinking skills to interpret criteria, policies, and procedures. Provide the best and most appropriate treatment, care, […]

Strategic Healthcare Optimization Specialist

Humana
Oklahoma

The Utilization Management Nurse The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical knowledge and clinical criteria to solve moderately complex problems. Responsibilities The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills to interpret criteria, policies, and procedures to provide the […]

Clinical Resource Optimization Specialist

Humana
Oklahoma

Utilization Management Nurse 2 The Utilization Management Nurse applies a Person-Centered approach, working within specific guidelines and procedures, and utilizing advanced technical knowledge and clinical criteria to solve moderately complex problems. Responsibilities Use clinical knowledge, communication skills, and independent critical thinking to interpret criteria, policies, and procedures. Coordinate and communicate with providers, members, or other […]

Strategic Healthcare Resource Optimization Specialist

Humana
Oklahoma

Utilization Management Nurse 2 The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical knowledge and clinical criteria to solve moderately complex problems. Responsibilities Use clinical knowledge, communication skills, and independent critical thinking to interpret criteria, policies, and procedures for the best treatment, care, or services. Coordinate and […]

Executive Vice President of Medicare Operations – Intermountain Region

Humana
Wyoming

The Regional Market President Manages the development, operations, and results of the Humana Intermountain region which includes Washington, Utah, Oregon, Idaho, Montana, Wyoming, and Alaska. Responsibilities Establish long-range goals, objectives, and plans. Monitor financial and operational performance. Coordinate activities of senior managers and their respective functions. Represent the health plan externally and to governmental/external agencies. […]