- CVS Health (Montgomery, AL)
- …to coordinate, document and communicate all aspects of the utilization/benefit management program. -Utilizes clinical experience and skills in a collaborative ... constituents in the coordination and administration of the utilization/benefit management function. Required Qualifications3+ years of acute care clinical experience… more
- Humana (Montgomery, AL)
- …health first** Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and ... Behavioral Health Facilities to obtain sufficient clinical information. The UM Behavioral Health RN work assignments are...Qualifications** + Minimum of Associate's Degree in Nursing + Registered nurse with active Compact Licensure and… more
- Humana (Montgomery, AL)
- … Timeliness Monitoring and Reporting + Working knowledge using Power BI + Registered Nurse or Behavioral Health Licensed Professional. + Managed care, Medicaid ... + Serves as subject matter expert on NCQA Health Plan Accreditation UM requirements, advising stakeholders on compliance, and facilitating NCQA UM … more