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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..
... to create an exceptional patient experience leveraging excellent customer service skills ... patients with acute and chronic medical conditions Assess patient needs; develop, ... 2 years of prior clinical..
... patients with acute and chronic medical conditions Assess patient needs; develop, ... 2 years of prior clinical experience in an acute or post-acute ... telephonic patient care Preferred Education,..
... Case Manager/Care Coach - San Antonio/Medical Center in San Antonio Texas ... OR Provide documentation for a medical or religious exemption consideration. This ... to create an exceptional patient..
... such as prescriptions, transportation, Durable Medical Equipment (DME), appointments by creating ... timely documentation in the electronic medical record Participates in daily huddles ... in. Required Qualifications: Licensed Practical/Vocational..
... 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..
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..
... occupational therapy, speech therapy, and medical social services. The CTM supervises ... CHAPs requirements Participates in periodic review of clinical records to promote ... Current licensure as a Registered..
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..
Job Information Humana Appeals Nurse 2 - TRICARE in San ... Antonio Texas Description The Appeals Nurse 2 resolves clinical complaints and ... complaints and appeals. The Appeals Nurse 2..
... available plans and programs include:u003c/pu003eu003culu003enu003cliu003eComprehensive medical coverage that covers many common ... covers many common services at no cost or for a low ... telemedicine services and free AirMed..
... combined with 4 years of experience above the required years of ... above the required years of experience Current, unrestricted RN license, specific ... 4 years of diverse 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..
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..
... The Care Management Liaison (CML) Nurse will oversee the processing of ... office in Central Texas. The nurse will support the eMSM with ... provide support for TRICARE benefit..
... 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 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..
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 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..
