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... case findings. Educates providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical management systems. Decisions are typically related ... disciplinary action...
... The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... clinical setting Experience as a utilization management Auditor Experience in utilization management Excellent computer skills and..
... The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... with a team Work At Home requirements: Must have the ability ... or cable modem for..
... RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... have a room in your home designated as a home office; away from high traffic .....
Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..
... Conviva Care Solutions is a management services organization representing nearly 300 ... member's physical, environmental, and psycho-social health issues. Identifies and resolves barriers ... acute care setting or case/care..
... education opportunities to drive maximum utilization of available resources, and directing ... Industry experience Active Life & Health (Florida 2-15) Insurance License 2 ... 2 or more years of..
... The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... clinical setting Experience as a utilization management Auditor Knowledge with LCD and ... quality assurance audits..
Description Your Home Advantage (YHA) is a Humana-owned ... (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical ... physician's office and the member's home. YHA provides prospective..