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Description The Utilization Management Nurse 2 utilizes clinical nursing skills to ... utilizes clinical nursing skills to support the coordination, documentation and communication ... benefit administration determinations. The Utilization Management..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The..
Description The Utilization Management Nurse utilizes clinical nursing skills ... utilizes clinical nursing skills to support the coordination, documentation and communication ... benefit administration determinations. The Utilization Management Nurse work..
Description The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic environment, ... with resources appropriate for the care and wellbeing of members. The ... wellbeing of members. The..
... The team floats to the work, as assigned, and helps their ... solid clinical background in acute care? Well, if you answered YES ... complete, compliant and accurate to..
... Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in ... prior authorization requests for appropriate care and setting, following guidelines and ... solve basic problems;..
... Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional consults and ... and supports training and process management as needed. Begins to influence ... approach for project components, and..
... The Senior Compliance Professional will work with Humana Primary Care Organization's internal business partners to ... prepare regular reporting, provide compliance support to PCO business owners, and ... Professional..
... whose purpose is to provide care management program support resources to physicians, physician groups, ... It's about living life fully. At CenterWell, a division of Humana, ... lead their..