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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..
... 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 - S. Florida in Jersey City New Jersey Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
... 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. ... 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..
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..
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..
Job Information Humana Medical Director - Texas in Jersey City New Jersey Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
... and shaping the necessary tech-enabled services to deliver on that experience ... to help shape the technology-enabled services we will build together to ... and shaping the necessary tech-enabled..
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..