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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..
... 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 Information Humana Manager, Utilization Management RN - Remote ... in Meridian Idaho Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit..
... decisions about the appropriateness of services provided by other healthcare professionals ... home health or post acute services such as inpatient rehabilitation. Preferred Qualifications Knowledge of the ... Regional..
... 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 Medical Director - S. Florida in Meridian Idaho 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..
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 ..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... in Meridian Idaho Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit..
... 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..
... CMO - Regional VP, Health Services - Intermountain Region in Meridian ... Description The Regional VP, Health Services relies on medical background and ... claims. The Regional VP, Health..
Job Information Humana Medical Director - Texas in Meridian Idaho 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..