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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. The ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
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Here We Grow Again! Our culture fosters engagement, diversity and advocacy. Our goal is to empower our employees and support them in their professional growth while leading them on a path ..
Description Humana Healthy Horizons is seeking a Pre-Authorization Nurse 1 who will review prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forwards requests ..
Posted: 23-Feb-22 Location: Akron, Ohio Salary: Open Categories: General Nursing Internal Number: 7069 About Akron Children's Hospital Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties ..
PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality ..
Job Information Humana Care Manager, Registered Nurse, RN - Maternity, L&D, Mother Baby in Canton Ohio Description The Field Care Manager assesses and evaluates member's needs and requirements to achieve and/or ..
Description Humana Healthy Horizons is seekign a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The ..
Job Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother Baby (Ohio Medicaid) in Canton Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Job Information Humana Manager, Care Management(Behavioral Health) - Ohio Medicaid in Canton Ohio Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management who will lead our behavioral health ..
Job Information Humana Care Manager, Registered Nurse, RN in Canton Ohio Description Humana Healthy Horizons in Ohio is seeking a Field Care Manager to assess and evaluate member's needs and requirements ..
Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management (Physical Health & Behavioral Health) who will lead our physical or behavioral health care management operations and staff to ..
Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Canton Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, ..
Job ID 21000KGOAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Description The Senior Quality Compliance Nurse Professional is an integral part of the Ohio Quality Improvement Department. This role will collaborate with internal and external customers to complete fast-paced and time ..
Posted: 25-Feb-22 Location: Akron, Ohio Salary: Open Categories: General Nursing Internal Number: 7225 About Akron Children's Hospital Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in Akron Ohio The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, ..
Come grow with Summa Rehab Hospital , where we manage from the bedside up every day. Join a strong, knowledgeable company that values each employee as an individual. Our expanding organization ..
Posted: 25-Feb-22 Location: Alliance, Ohio Salary: Open Categories: General Nursing Internal Number: 7258 About Akron Children's Hospital Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties ..