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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..
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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 ... you succeed, we succeed! 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..
... 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..
... 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 Manager, Utilization Management RN - Remote in San Juan Puerto Rico ... Juan Puerto Rico Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... is responsible for client cost management and satisfaction. The Clinical Liaison ... related to medication cost and..