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... the strategic leader in resource utilization; budget and MER oversight; vendor ... Corporate Finance; Senior leaders of Medicare, Medicaid and Commercial products; HCO leadership; ... Required Qualifications Bachelor's Degree..
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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and .....
... The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... courses of action. Responsibilities The Utilization Management Compliance Nurse 2 ensures mandatory ... without restrictions 3..
... the members we serve. The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... courses of..
... Reviews inventory reports and assists management with data tracking to identify ... case findings Educates providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information..
Job Information Humana Manager, Utilization Management RN - Remote in Louisville ... in Louisville Kentucky Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, .....
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Louisville Kentucky Description The ... in Louisville Kentucky Description The Manager, Utilization Management Nursing utilizes clinical nursing skills..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing works within thorough, prescribed guidelines ... solve basic problems; collaborates with management and..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Kentucky Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..
... The Chief Medical Officer, Group Medicare relies on the medical background ... clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding of .....
... The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... courses of action. Responsibilities The Utilization Management Compliance Nurse 2 ensures mandatory ... states without restrictions..
... The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... courses of action. Responsibilities The Utilization Management Compliance Nurse 2 ensures mandatory ... without restrictions BSN..
... Delivery Clinical Team - the Utilization Management Nurse Reviewer utilizes clinical nursing skills to support the coordination, ... or rehabilitation clinical setting Compact Nursing License Comprehensive knowledge of Microsoft..
... or ability to obtain Compact Nursing License A minimum of three ... experience, managed care experience, OR utilization management experience Demonstrates Emotional Maturity Ability ... License preferred Previous experience..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... improvement opportunities...
