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... Responsibilities Be part of our Clinical Support Team - Humana is ... - Humana is seeking a Clinical Consultant who will be accountable ... results. Humana is seeking a..
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 Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
... actions. Recommend disciplinary action to Clinical Manager and initiate as appropriate. ... in the absence on the Clinical Manager ensuring compliance with applicable ... efficient, and effective matter. With..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..
... Certified Diabetes Care and Education Specialist-Remote-US in Louisville Kentucky Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... bridge the gap and integrate..
PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Functions as the hemodialysis team leader ..
... Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... skills to support the coordination, documentation and communication of medical services ... Utilization Management Nurse 2 uses..
... Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... skills to support the coordination, documentation and communication of medical services ... 3 or more years of..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Louisville Kentucky Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
