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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..
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..
... AND SCOPE: The registered professional nurse (CAP RN 1) position is ... of hire. Performs ongoing, systematic review and analysis of dialysis data ... and documents in the patient..
... 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..
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..
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..
... 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 1 utilizes clinical nursing skills ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... administration determinations. The Utilization Management Nurse 1..
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,..
... 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..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere ... in Tulsa Oklahoma Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical record documentation..
... Information Humana Utilization Management Registered Nurse, RN 2 in Tulsa Oklahoma ... Oklahoma Description The Utilization Management Nurse applies a Person-Centered approach, works ... problems. Responsibilities The Utilization Management..
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..
... 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,..
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..
