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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 ... Albuquerque New Mexico 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..
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 ..
RN, Case Manager - Full-time Department: Case Management ... Scope The Registered nurse case manager is responsible for facilitating individualized ... nursing staff, social worker, case manager assistant, utilization review..
Director of Rehabilitation Services Department: Rehabiliation Location: Rio Rancho, ... and Scope The Director of Rehabilitation Services (DOR) promotes and restores patient ... development, and operations of the rehabilitation program..
... 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 RN - Remote ... Albuquerque New Mexico Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit..
RN, Case Manager - Part-Time Department: Case Management ... Scope The Registered nurse case manager is responsible for facilitating individualized ... nursing staff, social worker, case manager assistant, utilization review..
... 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..
Case Manager- RN - PRN Department: Case ... Scope The Registered nurse case manager is responsible for facilitating individualized ... team. The registered nurse case manager will utilize planning, coordination,..
... 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..
RN Case Manager - PRN Department: Case Management ... Scope The Registered nurse case manager is responsible for facilitating individualized ... nursing staff, social worker, case manager assistant, utilization review..
Case Manager, RN Full-Time Department: Case Management ... Scope The Registered nurse case manager is responsible for facilitating individualized ... team. The registered nurse case manager will utilize planning, coordination,..