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... The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from ... NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about Humana ... that provides Humana members with..
... Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization ... and most appropriate treatment, care..
... needs and requirements to achieve and/or maintain optimal wellness state by ... challenged by serious mental illness and/or substance use. Our goal is ... allow each member to achieve..
... monitoring patient care through assessments and/or evaluations. Responsibilities The first 4 ... Duties: Telephonically assess Medicare, Medicaid, and/or and Group Account members and ... members' progress toward goals Use..
... where the analysis of situations or data requires an in-depth evaluation ... coach assigned providers, providers groups and/or MSO groups on gap closing ... through in-person, virtual, telephone, email..
... Required Qualifications Associate's Degree in Nursing or higher Current US Registered Nurse ... interpreting medical records for coding or medical necessity Comprehensive understanding of ... Preferred Qualifications Certification from..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..
... Care policy procedures standards of nursing practice state and federal regulations.Performs ... from the Clinical Educator Preceptor or in collaboration with other Registered ... patient medical record makes adjustments..
... and determine necessities to achieve and/or maintain optimal wellness. Work assignments ... monitoring patient care through assessments and/or evaluations. May create member care ... in the state of Florida..
... in Family Medicine, Internal Medicine or Geriatric Medicine with continued certification ... Management, (VBC) Value Based Care and/or healthcare operations setting, preferably in ... understanding regardless of communication channel..
... Telephonically assess Medicare, Medicaid, Commercial, and/or and Group Account members in ... needs and requirements to achieve and/or maintain optimal wellness state Guide ... Required Qualifications Associates degree in..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in Ridgeland Mississippi Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
... and determine necessities to achieve and/or maintain optimal wellness. Work assignments ... monitoring patient care through assessments and/or evaluations. May create member care ... eligible to participate in SkillBridge,..
... analyzes data daily, weekly, monthly or as needed to assess outcome ... with no disciplinary action 3 or more years of clinical experience ... a team performing auditing, quality..
... Utilization Management Nurse utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization ... and most appropriate treatment, care..
... Minimum of Associate's Degree in Nursing Registered nurse with active Compact ... direct patient care (either medical or behavioral health) Adept experience working ... to provide a high-speed DSL..
