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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 ... Aberdeen South Dakota Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit..
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 ... and appeals processes, and outpatient services and equipment, within their scope. ... medical interpretation and determinations whether..
... 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..
... 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 Aberdeen South Dakota Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
... 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..
Job Information Humana Manager, Utilization Management Nursing - North ... Aberdeen South Dakota Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit..
Job Information Humana Manager, Utilization Management RN - Remote ... Aberdeen South Dakota 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. ... and/or home health or post-acute..
Job Information Humana Medical Director - Texas in Aberdeen South Dakota Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..