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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..
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,..
... Humana RN, Senior Stars Improvement, Clinical Professional in Lancaster South Carolina ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible ... Program. The Senior Stars Improvement,..
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 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..
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..
... 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..
... 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..
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..
... North Carolina Description The Baylor Clinical Assessment Advisor directly completes and ... health aide to ensure optimal clinical outcomes. The Baylor Clinical Assessment Advisor work assignments involve ... variable..
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 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..
... 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..
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 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..
Description The Nurse Auditor 2 will work on ... 2 will work on the clinical research and development team with ... to develop, implement and maintain clinical lab audit concepts...
... at Home RN - Registered Nurse Needed for Skilled Home Visits! ... follow-up as directed by the Clinical Manager. Confer with physician in ... accordance with physician orders, under..
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 Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... action. Responsibilities The Utilization..
Description The Compliance Nurse 2 reviews utilization management activities ... waste, and abuse. The Compliance Nurse 2 work assignments are varied ... courses of action. The Compliance Nurse 2 will..
