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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 ... Charlotte North Carolina 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..
... Job Title: Nurse Medical Case Manager Company: Travelers Insurance Category: Claims ... by @TRV_Careers Nurse Medical Case Manager Charlotte, North Carolina Company Summary ... Category Nurse - Medical Case..
... Information Humana Regional VP, Health Services (Mid-Atlantic Region) in Charlotte North ... Description The Regional VP, Health Services relies on medical background and ... claims. 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 ..
... 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..
... 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..
... 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 ... Charlotte North Carolina Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit..
Description The Clinical Education National Director will directly lead a team of clinicians educating all PCO clinicians on VBC best practices and efficiencies spanning multiple regions and teams where CenterWell and/or ..
Job Information Humana Medical Director - S. Florida in Charlotte North Carolina Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
... 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..
Medical Group is seeking a board certified ophthalmologist to lead our ophthalmology clinic as our medical director. The successful candidate will have responsibility for covering ophthalmology consultations at Vidant Medical Center ..
Job Information Humana Medical Director - Texas in Charlotte North Carolina Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..