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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,..
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..
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 ..
... 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 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..
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..
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 .....
... 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)..
... Healthy Horizons is seekign a Utilization Management Nurse 2 who utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... Fortune 40 Company!..
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..
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..
... case findings. Educates providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical management systems. Understands own work area ... state of..
... 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..
... 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 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..
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..
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..
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..
