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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 ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
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 The RN Clinical team is looking for a ... researching and reviewing medical record documentation for incorrect billing and coding. ... will be someone who applies clinical and coding..
... which includes physicians, physician assistant, clinical nurses, and staff from the ... nurses, and staff from the clinical trials office. This position presents ... lead a team to advance..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Brentwood Tennessee Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
... 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 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 Brentwood Tennessee 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 ..
Description Research Nurse Specialist II JOB SUMMARY: The Critical ... Principal Investigator, the Research Nurse Specialist II (RNSII) is responsible for ... integrity and quality of the clinical research trial..
... 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..
... 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..
