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Nurse Navigator','08452-63925','United States-Tennessee-Brentwood-Nashville FSC','Part-time','Case Management','!*!TriStar Health ... Health is looking for a Nurse Navigator for our Care Assure ... at our TriStar Southern Hills Medical Center location in Nashville, TN...
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... administration determinations. The Utilization Management Nurse 2..
Job Information Humana Appeals Nurse 2 - TRICARE in Brentwood ... Brentwood Tennessee Description The Appeals Nurse 2 resolves clinical complaints and ... complaints and appeals. The Appeals Nurse 2..
... The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ... The Utilization Management Behavioral Health Nurse 2 work assignments are varied ... The Utilization Management Behavioral Health..
Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical record documentation and diagnosis coding ... support optimal reimbursement. Responsibilities The Nurse Auditor 2 validates..
Description The Utilization Management Nurse 1 utilizes clinical nursing skills ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... administration determinations. The Utilization Management Nurse 1..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... coordination, documentation and communication of medical services and/or benefit administration determinations ... Medicaid Plan. The Utilization Management Nurse 2..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... right questions and interpret complex medical..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... determinations. Responsibilities The Utilization Management Nurse 2/Home..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls ... The NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about ... and work independently. Responsibilities The Nurse..
Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager,..
Description The Nurse Auditor 2 will work on ... clinical lab audit concepts. The Nurse Auditor 2 will perform clinical ... and validation processes to ensure medical record documentation and..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for ... without direction. Responsibilities Senior Pre-Authorization Nurse: Serves as a team lead ... outcomes, and process efficiencies. Completes medical necessity..
... The Supervisor, Pre-Authorization Nursing: Completes medical necessity and level of care ... refers to internal stakeholders for review depending on case findings. Educates ... Educates providers on utilization and..
... both mental illness and complex medical situations. Our goal is to ... right questions and interpret complex medical/behavioral health content in an effort ... effort to enhance the member..
... VA Policy.ntExperience and Education nt(1) Experience. Six months experience of clerical, office or other ... year above high school; ornt(3) Experience/Education Combination. Equivalent combination of experience and education are..
Description The Telephonic Nurse Care Manager will be part ... for Disease Management and Personal Nurse programs throughout the continuum of ... the continuum of care. The nurse will have..
... The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and ... coordination, documentation, and communication of medical services. Enjoy the flexibility of ... three (3) years of clinical..
... team of 20-25 nurses and medical professionals that performs the following ... that performs the following functions: medical necessity/level of care reviews, provider ... education on the utilization and..
... channel) to providing support. Reviews medical records or claims to identify ... Qualifications An active unrestricted Registered Nurse (RN) license in the state ... Florida. 3 years of clinical..
Job Information Humana Nurse Advice Line Telephonic Nurse - Remote- RN Compact License ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager,..
