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... Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... and quality performance and staffing management. Detailed Responsibilities include: Leads Medicaid ... Medicaid operational process and..
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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... schedules and goals. Responsibilities The..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding ... delivery process. The Associate Director,..
... Advice Line Telephonic Nurse - RN Compact License States Only in ... Bethesda Maryland Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... you succeed, we succeed! The..
... Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Bethesda Maryland Description ... Bethesda Maryland Description The Risk Management Professional 2 identifies and..
Description The Case Management Liaison (CML) process referrals from ... of action. Responsibilities The Case Management Liaison (CML) will be a ... working relationship with eMSM/MTF referral management associates 25%..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..
... Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the ... solve basic problems; collaborates with management and top professionals/specialists in selection ... reviews, provider education on the..
Job Information Humana Manager, Utilization Management RN - Remote in Bethesda Maryland Description The ... in Bethesda Maryland Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or..
... Advice Line Telephonic Nurse - Remote- RN Compact License States Only in ... Bethesda Maryland Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The..
Description The Utilization Management Behavioral Health Nurse 2 utilizes ... and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work ... courses of action. Responsibilities The Utilization Management..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC state required ... Bethesda Maryland Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..
Job Information Humana Telephonic Care Manager in Bethesda Maryland Description The ... Maryland Description The Telephonic Care Manager will be part of the ... of the Humana Military Case Management..
... not be limited to, Care Management, Utilization Management, and/or Compliance. Understands department, segment, ... established guidelines/procedures. Required Qualifications Unrestricted RN License. Three (3) years of ... License. Three (3)..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... courses of action. Responsibilities The Utilization Management..
Description The RN Case Management Process Advisor also known as ... also known as a Case Management Liaison (CML) will oversee the ... (MTFs) and civilian providers. The RN Case..
... not be limited to, Care Management, Utilization Management, and/or Compliance. RN licensure is required at all ... Valid Unrestricted Registered Nurse License (RN) in home state and compact .....
