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Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration determinations. The Manager, Utilization Management Nursing..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... in Billings Montana Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit..
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 ..
... to make determinations whether requested services, requested level of care, and/or ... and appeals processes, and outpatient services and equipment, within their scope. ... medical interpretation and determinations whether..
... CMO - Regional VP, Health Services - Intermountain Region in Billings ... Description The Regional VP, Health Services relies on medical background and ... claims. The Regional VP, Health..
... to make determinations whether requested services, requested level of care, and/or ... medical interpretation and determinations whether services provided by other healthcare professionals ... and the Regional VP Health..
Job Information Humana Manager, Utilization Management RN - Remote ... in Billings Montana Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit..
... to make determinations whether requested services, requested level of care, and/or ... and appeals processes, and outpatient services and equipment, within their scope. ... and/or home health or post-acute..
... and reviews preauthorization requests for services. The Medical Director work assignments ... medical interpretation and determinations whether services provided by other healthcare professionals ... medical interpretation and determinations whether..
Job Information Humana Medical Director - S. Florida in Billings Montana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Medical Director - Texas in Billings Montana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..
... decisions about the appropriateness of services provided by other healthcare professionals ... medical interpretation and determinations whether services provided by other healthcare professionals ... and the Regional VP Health..