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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..
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... 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 Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior Stars Improvement, Clinical Professional work assignments involve moderately ..
... 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..
Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied ..
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 ..
... 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..
... 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..
... 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..
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 ..
... 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 RN - Provider Clinical Liaison contributes ... administration of utilization management. The RN - Provider Clinical Liaison work ... hospital and community groups addressing health care. Create and participate..
Rated a top workplace, come join Homewatch CareGivers - Meridian, ID! We're actively hiring: Caregivers CNAs Positions available in: Meridian, Boise, Nampa, Caldwell What we offer: Health Insurance With Medical & ..
... 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..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... determinations. The Utilization Management Behavioral Health Professional 2 work assignments are ... action...
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..
... 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..