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Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization..
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..
Job Information Humana Care Manager, Telephonic Nurse 2-Remote (Eastern Standard Time) in Lancaster South Carolina Description ... South Carolina Description The Care Manager, Telephonic Nurse 2, in a telephonic environment,..
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..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state..
... to providing affordable, personalized, patient and family centered medical home healthcare, ... home hospice, private duty homecare and independent living support services delivered in a concierge style, ... an..
Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Lancaster South ... Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive .....
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..
... Responsible for the implementation, management and oversight of research studies including the education of ... studies including the education of research staff, healthcare team member, participants ... staff, healthcare..
... 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..
