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Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied and frequently ... courses of action. Responsibilities..
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... for performing clinical audits on medical record documentation for quality and ... support the submitted charges. Comprehensive medical reviews will be conducted on ... ACCOUNTABILITIES 95% Quality Monitoring Audits..
... Program Delivery Professional (Medicaid) - Remote, US in Honolulu Hawaii Description ... Senior Quality Program Delivery Professional work assignments involve moderately complex to ... quality strategy and implementation approach...
Description The RN Clinical team is looking for ... looking for a dynamic Registered Nurse to join the team working ... to join the team working remote anywhere in the..
... medication cost and utilization and nurse support. Location : Remote USA Travel: Up to 40% ... client and branches (i.e., utilization review calls, clinical education, IDG, etc.) ... utilization..
... Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the ... team of 20-25 nurses and medical professionals that performs the following ... that performs the following functions:..
... Audit (QA) Risk Management Professional 2-Remote, US in Honolulu Hawaii Description ... The Risk Management Professional 2 work assignments are varied and frequently ... areas. Makes decisions regarding own..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in ... in Honolulu Hawaii Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure..
Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical record documentation and diagnosis coding ... to support optimal reimbursement. The Nurse Auditor 2 work..