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... we will driveu00a0the future of healthcare.nnThis is an exceptional opportunity to ... Fortune Top 50 Company.nNurse Medical Management I/Utilization ReviewnLocation: W@H; GA preferrednSchedule: ... or Tuesday-Saturday.nRESPONSIBILITIES:nResponsible to collaborate with..
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Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... Soul. Join Us! The Utilization Management Nurse 2..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments are ... of action. Responsibilities The Utilization Management Nurse 2..
... Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral ... during the interview. The Utilization Management Behavioral Health Nurse completes medical ... sufficient clinical information. The Utilization..
Description The Utilization Management Nurse 1 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 1 work assignments are ... moderate complexity. Responsibilities The Utilization Management Nurse 1..
Description The Health Information Management Professional ensures data integrity for ... claims errors. The Health Information Management Professional work assignments are varied ... action. Responsibilities The Health Information Management Professional..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager, Registered ..
Job Information Humana Enterprise Risk Management Lead-US-Remote in Atlanta Georgia Description ... Description The Sales Conduct Risk Management Lead a critical member of ... of Humana's Third Party Risk Management..
... care as per the disease management agreement, including initial and ongoing ... workup of patients for access management, dialysis services, patient education, hospitalizations, ... transportation issues to the disease..
PURPOSE AND SCOPE:Supports FMCNA's mission vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements.Functions as part of the hemodialysis ..
Description The Social Services Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction ..
PURPOSE AND SCOPE:Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with ..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist ... requests. The Oncology Staff Utilization Management Pharmacist work assignments involve moderately ... Responsibilities The Oncology Staff Utilization Management..
Description The Care Management Support Assistant contributes to administration ... contributes to administration of care management. Provides non-clinical support to the ... administration support experience in the healthcare industry Familiarity..
... the global leader in dialysis healthcare, we form bonds that enable ... a member of the interdisciplinary healthcare team, supporting the FMCNA commitment ... with the interdisciplinary team on..
... and possible participation in care management. The clinical scenarios predominantly arise ... health, or disease or care management. Medical Directors support Humana values, ... in teams focusing on quality..