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Description The Care Manager, Telephonic Nurse 2 , in ... evaluates members' needs and requirements to achieve and/or maintain optimal wellness ... with resources appropriate for the care and wellbeing..
... prior authorization requests for appropriate care and setting, following guidelines and ... approves services or forward requests to the appropriate stakeholder. The Supervisor, ... requiring analysis of variable factors..
... include, but not be limited to, Care Management, Utilization Management, and/or Compliance. ... operating objectives, including their linkages to related areas. Makes decisions regarding ... established guidelines/procedures. Required Qualifications..
... 2 utilizes clinical nursing skills to support the coordination, documentation and ... interpreting criteria, policies, and procedures to provide the best and most ... best and most appropriate treatment,..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex ... administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities ... needs. Responsibilities The..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex ... administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. ... team. Responsibilities The..
Job Information Humana Telephonic Care Manager in Lancaster South Carolina Description ... South Carolina Description The Telephonic Care Manager will be part of the ... Management throughout the continuum of..
Job Information Humana Baylor RN, Home Health in Monroe North ... clinicians and home health aide to ensure optimal clinical outcomes. The ... work assignments involve moderately complex to complex..
... Advice Line Telephonic Nurse - RN Compact License States Only in ... Lancaster South Carolina Description The Care Manager, Telephonic Nurse 2 , in ... evaluates members' needs and..
Description The Behavioral Health Care Manager, Telephonic Nurse 2 , in ... evaluates members' needs and requirements to achieve and/or maintain optimal wellness ... with resources appropriate for the care..
Description The Care Coach 1 assesses and evaluates ... evaluates member's needs and requirements to achieve and/or maintain optimal wellness ... with resources appropriate for the care and wellbeing of..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional ... in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional ... assignments that involve moderately complex to complex issues..
... prior authorization requests for appropriate care and setting, following guidelines and ... approves services or forward requests to the appropriate stakeholder. Makes decisions ... Makes decisions on moderately complex..
Job Information Humana Manager, Utilization Management RN - Remote in Lancaster South ... Lancaster South Carolina Description The Manager, Utilization Management Nursing utilizes clinical ... Nursing utilizes clinical nursing skills..