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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..
Description The Utilization Management Nurse utilizes clinical nursing skills ... and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied ... the Soul. Join Us! The Utilization Management..
Description The WEEKEND 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,..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist ... oncology requests. The Oncology Staff Utilization Management Pharmacist work assignments involve moderately ... factors. Responsibilities The Oncology Staff..
... 2 contributes to administration of utilization management. The UM Administration Coordinator 2 ... on semi-routine assignments. Responsibilities The Utilization Management (UM) Administration Coordinator 2 contributes ... order to prepare..
... business. Work with local market utilization management and case management teams for inpatient cases. Participate ... in Quality Operations including Quality Management Committee, monitor initial peer review ... to..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... shift to a work at home position..
... and possible participation in care management. The clinical scenarios predominantly arise ... relationships, value based care, population health, or disease or care management. Medical Directors support Humana values, .....
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing ... documentation and communication of behavioral health services and/or benefit administration determinations. ... and/or benefit administration determinations. The Utilization..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments..
Job Information Humana Manager, Utilization Management RN - Remote in San ... Puerto Rico Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... benefit administration determinations. The Manager,..
Job Information Humana Staff Utilization Management Pharmacist/ Staff RX Clinical Programs ... Puerto Rico Description The Staff Utilization Management Pharmacist is a clinical pharmacist ... prescriptions requiring pre-authorization. The Staff..
... 1 (Fully Bilingual English/Spanish. Managed Care/Health insurance exp a MUST) Work ... exp a MUST) Work at Home - San Juan, PR in ... 1 contributes to administration of..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... Saturday, Sunday, Monday, Tuesday The Utilization Management..
... on medical background and reviews health claims. The Medical Director work ... and possible participation in care management. The clinical scenarios predominantly arise ... relationships, value based care, population..
... Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in ... solve basic problems; collaborates with management and top professionals/specialists in selection ... reviews, provider education on the..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... the Soul. Join Us! The Utilization Management..
