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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 Birmingham Alabama 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. ... medical interpretation and determinations whether..
... bed facility provides the following services: Brain & Neuro, Cancer Care, ... & Neuro, Cancer Care, Children's Services, Diagnostics, Digestive Disorders, Ear, Nose ... the State), Pulmonary and Respiratory,..
... 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..
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 ..
... 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..
... 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..
Job Information Humana Medical Director - Texas in Birmingham Alabama Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..
... is equipped with 122 beds. Services offered include chest pain and ... pain and stroke care; surgical services, including minimally invasive surgery; orthopedics, ... minimally invasive surgery; orthopedics, including..
Job Information Humana Medical Director - S. Florida in Birmingham Alabama Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
... 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..
Job Information Humana Manager, Utilization Management RN - Remote ... in Birmingham Alabama Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit..