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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,..
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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..
... 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..
... in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who will utilize ... and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health applies a Person-Centered ... Essential..
... 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)..
... 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..
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 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..
... Advice Line Telephonic Nurse - Remote- RN Compact License States Only in ... Springfield Missouri Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The..
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 ..
... Places to Work.”Overview: Provides case management services for members covered through ... network providers, and other case management services. This position is part ... of a blended team of..
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..
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 RN-Care Manager, Behavioral Health-RN in an eNLC state required ... Springfield Missouri Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care..
Job Information Humana Manager, Utilization Management RN - Remote in Springfield Missouri Description The ... in Springfield Missouri Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or..
... 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 .....
Job Information Humana Weekend Shift- RN Utilization Management Behavioral Health Nurse 2 - ... in Springfield Missouri Description The Utilization Management Behavioral Health Nurse 2 utilizes ... and/or benefit administration..
... Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Springfield Missouri Description ... Springfield Missouri Description The Risk Management Professional 2 identifies and..
Job Information Humana Telephonic Care Manager in Springfield Missouri Description The ... Missouri Description The Telephonic Care Manager will be part of the ... of the Humana Military Case Management..
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..
