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Inpatient Rehab Nurse RN - FT Nights - Palms of Pasadena, St. Petersburg','26536-2655','United States-Florida-St Petersburg-Palms of Pasadena Hospital','Full-time','Nursing - Professional','!*!Palms of Pasadena Hospital opened more than forty years ago and has ..
Director of Behavioral Health - Registered Nurse RN','00144-11409','United States-Florida-Largo-Largo Medical Center - Indian Rocks','Full-time','Directors & Managers','!*!Largo Medical Center is an all private room, 425-bed statutory teaching hospital serving Tampa Bay area ..
Progressive Care PCU FT Nights - St. Petersburg','26536-2627','United States-Florida-St Petersburg-Palms of Pasadena Hospital','Full-time','Nursing - Professional','!*!Palms of Pasadena Hospital opened more than forty years ago and has provided high-quality healthcare services for ..
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 ..
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 ..
... advanced and highly specialized administrative/operational/customer support duties that require independent initiative ... assists the ADS Implementation & Support Supervisor (ADS ISS) with maintaining ... with maintaining product files in..
Description The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates transplant members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a couple Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly ..
... clinical scenarios predominantly arise from inpatient or post-acute care environments. Has ... facilities, or community groups to support regional market priorities, which may ... or care management. Medical Directors..
Description Job Summary The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The ..
... clinical excellence, quality improvement, appropriate inpatient and outpatient utilization, affordability, health ... clinical excellence, quality improvement, appropriate inpatient and outpatient utilization, affordability, health ... Initiatives in order to achieve..
Description The Senior Wellness Program Professional responsible for educating and motivating clients/employers to participate in the wellness program. The Senior Wellness Program Professional work assignments involve moderately complex to complex issues ..
... utilize clinical nursing skills to support the coordination, documentation and communication ... and identify challenges and provide support with new lines of business ... to member's health and outcomes...
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Senior Quality Assurance, Clinical Professional requires being both a nurse/RN and a certified Coder nurse as this position will be cross trained to review DRG (Diagnosis Related Group) audits ..
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, ..
... complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor ... Auditor 2 validates and interprets inpatient hospital medical record documentation to ... conducting chart reviews of hospital..
Description The Pre-Authorization Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Pre-Authorization Behavioral Health ..
Progressive Care PCU Nurse - FT Nights - St. Petersburg, Fl','26536-2659','United States-Florida-St Petersburg-Palms of Pasadena Hospital','Full-time','Nursing - Professional','!*!Palms of Pasadena Hospital opened more than forty years ago and has provided high-quality ..