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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..
... 21000GL9Available Openings 2Position Specific Information No experience necessary! We offer paid training. 1225 ... and change lives with Fresenius Medical Care North America. Here, we ... Team? Passion. Dedication...
... Provide the highest quality of medical care to our patients. * ... patients. * Participates in peer review, staff, quality assurance and other ... in Nursing (MSN) as Family..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere ... in Indianapolis Indiana Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical record documentation..
... for academic advising alerts; provide necessary interventions to include communication with ... regional academic policies. ENROLLMENT MANAGEMENT Review and analyze program data as ... assist Chair with annual Program..
... Qualifications RN degree Utilization Management experience and/or previous auditing experience Excellent organizational skills and detail ... Word, Excel, PowerPoint) Preferred Qualifications Experience working within CGX (Clinical Guidance ... within..
... Information Humana Utilization Management Registered Nurse - Remote in Indianapolis Indiana ... Indiana Description The Utilization Management Nurse utilizes clinical nursing skills to ... coordination, documentation and communication of..
... for academic advising alerts; provide necessary interventions to include communication with ... regional academic policies. ENROLLMENT MANAGEMENT Review and analyze program data as ... Assist Chairs with annual Program..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... seeking a dedicated, compassionate, and experience - Utilization Management RN Manager ... OR Provide documentation for a..
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,..
... 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..
... 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..
... empowered to apply their military experience and unique perspective to their ... patients as well as any necessary diagnostic and therapeutic interventions. Assure ... enhance operationalefficiency. Complete all appropriate..
Job Information Humana Appeals Nurse 2 - TRICARE in Indianapolis ... Indianapolis Indiana Description The Appeals Nurse 2 resolves clinical complaints and ... complaints and appeals. The Appeals Nurse 2..
... 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..
... Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Indianapolis Indiana ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic..
Job Information Humana Pre-Authorization Registered Nurse, RN, 1 in Indianapolis Indiana ... Indianapolis Indiana Description The Pre-Authorization Nurse 1 reviews prior authorization requests ... the appropriate stakeholder. The Pre-Authorization Nurse..
... Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management ... guidelines/procedures. Required Qualifications Active Registered Nurse, RN, license in the state ... OR 1 year Utilization Management..
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,..
... empowered to apply their military experience and unique perspective to their ... the supervision of a Registered Nurse (RN). Responsibilities: Perform basic monitoring ... clinical guidelines. Document data for..
... Information Humana Senior Compliance Registered Nurse in Indianapolis Indiana Description Humana ... is seeking a Senior Compliance Nurse. This position ensures mandatory reporting ... and accurately. Responsibilities Senior Compliance..
