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... 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 Manager, Care Management leads teams of nurses ... behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines ... procedures; applies advanced technical..
... 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..
... records reviews for Coordination of Care studies. Analyzes data and implement ... operating objectives, including their linkages to related areas. Makes decisions regarding ... Qualifications Associate Degree Registered Nurse..
Job Information Humana Manager, Utilization Management RN - Remote in San Juan ... Juan Puerto Rico Description The Manager, Utilization Management Nursing utilizes clinical ... Nursing utilizes clinical nursing skills..
Job Information Humana Care Manager, Telephonic Nurse 2/RN - San Juan, Puerto Rico ... Juan Puerto Rico Description The Care Manager, Telephonic Nurse 2 , in ... evaluates members' needs..
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..
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..
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..