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... improving the quality of care and outcomes while managing costs for ... health needs of the under-served and advises executives to develop functional ... of Health (Food insecurity, Transportation..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for ... authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, ... in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state..
... authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the ... works within thorough, prescribed guidelines and procedures; uses independent..
Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Cincinnati Ohio ... Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive .....