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Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... and communication of medical services and/or benefit administration determinations. The Utilization ... administration determinations. The Utilization Management Nurse 2..
Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization ..
Job Information Humana Utilization Management Nurse 2-Remote in Colorado Springs Colorado ... Colorado Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... and communication of medical services and/or..
... and communication of medical services and/or benefit administration determinations. The Manager, ... ideally focused on the Medicare and/or Medicaid populations. Our UM model ... time off (PTO) & Paid..
... needs and requirements to achieve and/or maintain optimal wellness state. CMSS ... issues Research and verify resources and/or referrals Assist with message/email routing ... 3 years of healthcare administration..
... and communication of medical services and/or benefit administration determinations. The Manager, ... to be fully COVID vaccinated or undergo weekly COVID testing and ... come into a Humana facility..
... and policies, and approves services or forward requests to the appropriate ... of Utilization Management (UM), Pre-Auth, or other managed care review experience ... care review experience Licensed Registered..
... Information Humana Utilization Management Registered Nurse - Remote in Colorado Springs ... Colorado Description The Utilization Management Nurse utilizes clinical nursing skills to ... and communication of medical services..
... group practice with centers open or opening in Florida, Georgia, Kansas, ... potential growth opportunities for new or existing services within the Center. ... Current and unrestricted medical license..