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Utilization Review Nurse chicago, IL \ Position Description: ... \ Position Description: The Utilization Review Nurse Specialist will be part of ... criteria in order to communicate review results to..
Description The Utilization Management Nurse utilizes clinical nursing skills to ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... administration determinations. The Utilization Management Nurse 2..
... teach back method to provide necessary patient education. Performs and documents ... laboratory and diagnostic tests as necessary. Reviews patient's records and other ... work area is stocked with..
... 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..
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 Auditor 2/ER - WFH/REMOTE-- Anywhere ... in Chicago Illinois Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical record documentation..
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..
... 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..
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..
... 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..
... ON BONUS INCLUDEDSchedule is M-F, no nights, no weekends, no holidays, no on-call!Chicago, IL (North West/Park Ridge)PURPOSE ... greater awareness in the local medical community of the importance of..
... Information Humana Field Care Manager Nurse - IL Medicaid - McHenry ... Description The Field Care Manager Nurse 2 assesses and evaluates member's ... members. The Field Care Manager..
... facility staff. Maintains integrity of medical records and other FMS administrative ... of each patient, including hospitalizations, no- shows, catheter use, and any ... implementation of FMS staffing, and..
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 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..
... empowered to apply their military experience and unique perspective to their ... with staff. Assign, monitor, and review progress of work and compliance ... May provide input in the..
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..
... 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..