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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..
... 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..
... EST. ACO REACH Field Case Manager uses a collaborative process of ... and advocacy for options and services to meet an individual's and ... to provide ongoing case management..
... 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 ..
Don’t just make a living…Make a difference! Join our team! Grow with our company! Help our clients achieve optimal levels of health and remain independent at home!$15K BonusPosition: RN Field Supervisor ..
Job Information Humana Manager, Utilization Management RN - Remote ... City New Jersey Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... City New Jersey Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit..
Save Refer friends Job description Commute time This position requires you to be fully vaccinated against COVID-19. Subject to applicable law, all prospective hires will need to provide proof of being ..
nttt nttt An organization focused on providing inpatient rehabilitation and detox services is looking to hire a Medical Director to primarily be based in Queens with some travel to other ..