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Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
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... Information Humana Utilization Management Registered Nurse, RN 2 in Jersey City ... Jersey Description The Utilization Management Nurse applies a Person-Centered approach, works ... problems. Responsibilities The Utilization Management..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere ... City New Jersey Description The Nurse Auditor 2 performs clinical audit/validation ... to support optimal reimbursement. The Nurse Auditor 2..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Jersey City New Jersey Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews ..
Start Date: ASAP DISRUPTING THE TYPICAL AGENCY MODEL Managed by an experienced team of Healthcare Staffing Pioneers, Accountable thinks a little differently from the normal staffing structure out there. Our team ..
... Humana is a Fortune 60 healthcare company with a history of ... top place to work in healthcare, especially in areas of Diversity ... their home. We are a..
... area. Up to $3,570/week!nnJob Type: Travel ContractnProfession: Registered NursenSpecialty: Med SurgnMinimum ... an estimated pay package. Individual healthcare professional requirements such as travel may impact final pay package .....
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..
Nomad Health, the modern healthcare staffing company, seeks an experienced ... company, seeks an experienced registered nurse for this rewarding travel assignment opportunity. Join Nomad's growing ... Start Date: QUALIFICATIONS..
... Information Humana Utilization Management Registered Nurse - Remote in Jersey City ... Jersey Description The Utilization Management Nurse utilizes clinical nursing skills to ... administration determinations. The Utilization Management..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... Medicaid Plan. The Utilization Management Nurse 2 work assignments are varied ... action. Responsibilities The Utilization Management Nurse 2..
... Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Jersey City ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic..
... Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... Intern - Care Manager, Registered Nurse, RN, will utilize Humana's Florida ... action. The Care Manager, Telephonic..
... Training Provided No Dialysis or Healthcare experienced required Full-Time variable schedule ... As a Peritoneal Dialysis Registered Nurse (PD RN), you will be ... * Wear many hats from..
Job Information Humana Senior Stars Improvement, Clinical Professional (RN/LPN) - Remote NY, NJ, CT, MA, ME, NH in Jersey City New Jersey Description The Senior Stars Improvement, Clinical Professional (RN/LPN) role ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Jersey City New Jersey Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will ..