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Description Humana's recently created Clinical Resource Team is looking to ... the team with a Senior Nurse Auditor roles! This is a ... Do you have a solid clinical background..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are ... courses of action. Responsibilities The..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, ... plan. The Senior Provider Engagement, Clinical Professional work assignments involve moderately ... Responsibilities The RN-Senior Provider Engagement, Clinical..
Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager,..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... support optimal reimbursement. Responsibilities The Nurse Auditor 2 validates and interprets ... of all relevant coding. Applies..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for ... without direction. Responsibilities Senior Pre-Authorization Nurse: Serves as a team lead ... with questions and mentoring of clinical staff..
Description The Clinical Applications Trainer (aka Senior Technology ... innovations, flexible medication access, one-on-one clinical support, and excellent customer service. ... customer service. Responsibilities Summary: The Clinical Applications Trainer is..
Description The Care Manager, Telephonic Nurse 2 employs a variety of ... (https://www.youtube.com/watch?v=0jjvy9dtpcg) Required Qualifications Active Registered Nurse (R.N.) license with no disciplinary ... minimum of 3 years of clinical..
... The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and ... least three (3) years of clinical experience. Responsibilities This department is ... The Utilization Management Behavioral Health..
... Humana RN, Senior Stars Improvement, Clinical Professional in Brentwood Tennessee Description ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible ... Program. The Senior Stars Improvement,..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls ... The NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about ... and work independently. Responsibilities The Nurse..
... Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... Intern - Care Manager, Registered Nurse, RN, will utilize Humana's training ... action. The Care Manager, Telephonic..
BenefitsTuition AssistanceVariable compensation plansTuition, Travel, and Wireless Service DiscountsHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffEmployee Assistance Program to support mental healthEmployee Foundation to financially assist through unforeseen hardshipsDiverse, ..
Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the ... administration determinations. The Utilization Management Nurse 1 work assignments are often ... complexity. Responsibilities The Utilization..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... Join Us! The Utilization..
Description The Stars Improvement, Clinical Professional responsible for the development, ... Stars Program. The Stars Improvement, Clinical Professional work assignments are varied ... action. Responsibilities The Stars Improvement, Clinical Professional's..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... determinations. Responsibilities The Utilization Management Nurse 2/Home Health Utilization Management Review ... Utilization Management Review cases..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... Medicaid Plan. The Utilization Management Nurse 2 work assignments are varied ... action. Responsibilities The Utilization..
Job Information Humana Nurse Advice Line Telephonic Nurse - Remote- RN Compact License ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager,..
... Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and ... waste, and abuse. The Compliance Nurse work assignments are varied and ... and overtime. Responsibilities The Compliance..
Description The Telephonic Nurse Care Manager will be part ... for Disease Management and Personal Nurse programs throughout the continuum of ... the continuum of care. The nurse will have..
