- Humana (Concord, NH)
- …our caring community and help us put health first** The Medicaid Clinical Operations Intake Product Manager applies professional concepts, industry ... by precedent and professional standards with some interpretation. The Medicaid Clinical Operations Intake Product Manager 2 - leads all phases of the … more
- Fallon Health (Beverly, MA)
- …medication reconciliations o Performs Care Transitions Assessments - per Program and product line processes o Utilizing clinical judgment and nursing assessment ... the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge,… more
- Fallon Health (Lawrence, MA)
- …coordinate after care needs + The Navigator refers to the Nurse Case Manager /PCP whenever clinical decision making is required. **Responsibilities** **Note: Job ... provider sheets as applicable + **Access to Care** + Depending upon the product , generates requests and authorizations for Medicaid covered services per the… more