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Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
Description Humana's recently created Clinical Resource Team is looking to grow the team with an Inpatient Senior Medical Coding Auditor roles! This is a unique team that's primary role is to ..
Description CarePlus is seeking a Nursing Educator 2 who will plan, direct, coordinate, evaluate, develop, and/or deliver training and education programs for professional nursing personnel. The Nursing Educator 2 work assignments ..
... documentation and communication of medical services and/or benefit administration determinations. The ... most appropriate treatment, care or services for members. Coordinates and communicates ... care and treatment Review UM..
... documentation and communication of medical services and/or benefit administration determinations. The ... most appropriate treatment, care or services for members. Coordinates and communicates ... Required Qualifications Licensed Registered Nurse..
... documentation and communication of medical services and/or benefit administration determinations. The ... most appropriate treatment, care or services for members. Coordinates and communicates ... and closing gaps Review UM..
... The registered professional nurse (CAP RN 1) position is an entry ... for Registered Nurses. The CAP RN 1 is accountable and responsible ... health care team, the CAP..
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 ..
Outdoor Enthusiasts Paradise in Duluth, MN - Pediatrics Opportunity!!rnrnPRACTICE SPECIFICSrnrnJoin 9 Pediatricians and 2 Pediatric NPs in a large, multi-specialty clinicrnPractice supported by over 65 pediatric specialists and sub specialists including ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Job Information Humana RN Telephonic Transplant Care Manager-WAH in ... receptor T cell (CAR-T) therapy services Guide members by providing information ... design and identify potentially unnecessary services and care..
... direct supervision and coordination of inpatient staff. Responsible for high volume ... technical staff. Ensure that continuing in-services are provided to all clinical ... provision of dialysis and related..
... to provide high quality dialysis services and outstanding patient care to ... quality patient care and dialysis services while adhering to regulatory and ... current knowledge of FMCNA products,..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..
... documentation and communication of medical services and/or benefit administration determinations. The ... most appropriate treatment, care or services for members. Coordinates and communicates ... job description Experience in acute..
... documentation and communication of medical services and/or benefit administration determinations. The ... most appropriate treatment, care or services for providers and members. Review ... members. Review UM post claim..
University of Minnesota Physicians (M Physicians) is a non-profit organization seeking driven individuals in both clinical and non-clinical areas to help transform health and medicine. Headquartered in Minneapolis, our organization employs ..
... AND SCOPE:The professional registered nurse Inpatient Services RN CAP 1 is an entry ... 9 months experience as a RN. 6 months experience in acute ... in acute dialysis..
... and proposed medical care and services against established CMS Coverage Guidelines ... review on members during an inpatient hospital admission. You will collaborate ... and proposed medical care and..
