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... and spoken proficiency)MUST HAVE WA RN LICENSE The Care Manager, Telephonic ... member's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... guidelines/procedures. Job Overview Humana At..
... member's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... guidelines/procedures. Job Overview Humana At Home is a division of Humana ... in achieving and maintaining optimum..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
... providers. Required Qualifications Current US RN License with Coding experience 3 ... years of clinical experience within Home Health field Previous experience in medical ... reviews/auditing or extensive experience..
... Required Qualifications Licensed Registered Nurse, RN, in the state of residence ... starting this role. Work at Home Requirements Must have the ability ... or cable modem for a..
... acute inpatient care Experience in Home Health, DME Licensed Registered Nurse (RN) in the (appropriate state) with ... or cable modem for a home office (Satellite and Wireless Internet..
... Defense to administer the TRICARE health program for military members, retirees ... has strived to create better health outcomes and simplified experiences for ... assist beneficiaries as they transition..
... action. Responsibilities Location: Work from home however, candidate must have a ... 2 role is work at home, with oversight from the NAL ... Ensure members are receiving preventative..
... courses of action. Responsibilities The RN Care Manager, Telephonic Nurse 2 ... to meet an individual's comprehensive health needs through communication and available ... A current, valid, and unrestricted..
... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide health education and value-added, well-being services ... and community members improve their..
Description The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization ... as needed. The Pre-Authorization Behavioral Health Professional 2 work assignments are ... action. Responsibilities Location: Work at home anywhere..
... providers. Required Qualifications Current US RN License with 1 year Coding ... years of clinical experience within Home Health field Previous experience in medical ... reviews/auditing or extensive experience..
... Required Qualifications Licensed Registered Nurse (RN) in the state of TN ... recent clinical experience in Medicare Home Health is required Comprehensive knowledge of ... or cable modem for..
... Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in ... Defense to administer the TRICARE health program for military members, retirees ... has strived to create better..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
... beneficiary required to meet the health needs of TRICARE beneficiaries, to ... delivery. Identify Social Determinants of Health needs and/or community resources to ... (TPM) or any other Defense..