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Description The Utilization Management Nurse utilizes clinical nursing skills to support the ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... EST The Front End Review..
Description Responsibilities The Senior Clinical Insights Professional delivers clinical policy insight and information to ... Government Business (HGB). The Senior Clinical Insights Professional will draft and ... will draft and..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... guidelines. Responsibilities The Utilization..
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 Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... role you will: Apply your clinical..
... at home anywhere Humana's Enterprise Clinical Management (ECM) team needs your ... needs your business, healthcare and research acumen to solve for the ... healthcare challenges of today. The..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
... Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and ... bridge the gap and integrate clinical and self-management aspects of diabetes ... Humana is seeking a Registered..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are ... Humana is looking for a..
... 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 The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..
Description The RN Clinical team is looking for a ... looking for a dynamic Registered Nurse to join the team working ... will be someone who applies clinical and coding..
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 Care Manager, Telephonic Nurse 2, in a telephonic environment, ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... role you will: Apply your clinical..
Description The Nurse Auditor 2 will work on ... 2 will work on the clinical research and development team with coders, ... to develop, implement and maintain clinical lab audit..
... Information Humana Care Manager, Telephonic Nurse 2-Remote (Eastern Standard Time) in ... Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, ... members. The Care Manager, Telephonic..
... reviews for requested services using clinical judgment and refers to internal ... processes. Enters and maintains pertinent clinical information in various medical management ... policies. Required Qualifications Active Registered..
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior ... the appropriate stakeholder. The Pre-Authorization Nurse 2 work assignments are varied ... every other month. The Pre-Authorization Nurse 2 completes..
Description The Utilization Management Nurse utilizes clinical nursing skills to support the ... administration determinations. The Utilization Management Nurse work assignments are varied and ... Join Us! The Utilization Management..
... the development of our innovative clinical data products, focusing on data-driven ... data products, focusing on data-driven clinical insights using the latest cloud ... vision and product roadmap for..
Job Information Humana Senior Clinical Recruiter in Glen Allen Virginia ... Allen Virginia Description The Senior Clinical Recruiter recruits qualified applicants for ... recruits qualified applicants for staff nurse or..
