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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 ..
... reviews utilization management activities and documentation to ensure adherence to policies, ... and summarize findings for the clinical operational teams to initiate and ... include issues on absence of..
Description Cardiovascular Invasive Laboratory Specialist III AdventHealth North Pinellas Location ... and training. Functions appropriately in clinical emergencies. Evaluates effectiveness of interventions ... the intervention procedure and patient clinical conditions...
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 ..
... 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..
... a difference by using your clinical IV experience and personal touch ... other partners. - Challenge your clinical nursing (RN) skills by receiving ... on leading edge technology and..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Tampa Florida Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Admin / Clerical (197) Advanced Practice Registered Nurses / Physician Assistants (340) Allied Health (3222) Executive (80) Operations (255) Physicians/Surgeons (1359) Quality/Risk Management (18) Type Contract (1) Fellowship (0) Full Time ..
Clinical Doc Specialist AdventHealth Tampa Location Address: 3100 ... and quality using the Compliant Documentation Management Program (CDMP) documentation strategies. Completes accurate and timely ... to ensure the integrity of..
... leaders. Mentors and monitors specialty-focused, clinical lead behaviors of the location ... and hire qualified TL/SME and clinical staff. Supports performance reviews and ... counseling sessions to enhance evidence-aligned,..
... 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..
... Certified Diabetes Care and Education Specialist-Remote-US in Tampa Florida Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... bridge the gap and integrate..
... reviews for requested services using clinical judgment, and refers to internal ... processes Enters and maintains pertinent clinical information in various medical management ... related experience 2 years progressive..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Company Summary Taking care of our customers, our communities and ..
Job Information Humana Nurse Practitioner in Tampa Florida Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating ..
Description The Health Services Director leads teams of nurses and behavior health professionals responsible for care management. The Director, Care Management requires an in-depth understanding of how organization capabilities interrelate across ..