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Description The RN, Compliance Nurse 2 reviews utilization management activities ... and abuse. The RN Compliance Nurse 2 work assignments are varied ... action. Responsibilities The RN Compliance Nurse 2..
Remote Medical Coder Transforming the future of ... an active diagnosis; Knowledge of medical terminology, anatomy & physiology, and ... terminology, anatomy & physiology, and medical prescription & over-the-counter drugs..
... costs/spending in all areas including medical supply inventory, personnel and accounts ... appropriately licensed, performs treatments as necessary to assist in times of ... and weekend calls/troubleshooting may be..
... 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,..
Description The Field Care Manager Nurse 2 assesses and evaluates member's ... members. The Field Care Manager Nurse 2 work assignments are varied ... Responsibilities The Field Care Manager Nurse..
... Information Humana Conviva Middleburg - Nurse Practitioner/Float in Orange Park Florida ... environment for all. Responsibilities: The Nurse Practitioner (NP) works in our ... professionals, Pharm D, Care Coach..
... direct supervision of a licensed nurse in accordance with organization policies, ... as allowed by state Law.Obtain necessary pre and post treatment vital ... reinfusion; perform all relevant functions..
... both the associate and member experience. Achieve performance metrics for a ... other departmental areas such as medical management, utilization management and case ... in the Florida. Licensed Registered..
... a Facility Administrator with Fresenius Medical Care, you will manage and ... You will collaborate with the Medical Director and the Charge Nurse regarding the provision of quality .....
... and consistent application of appropriate medical necessity criteria. Monitor, analyze, and ... followed including collaboration with the Medical Director to ensure reason for ... state of Florida. Unrestricted Registered..
Job Information Humana Nurse Auditor 2-Remote/Virtual in US in ... in Jacksonville Florida Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical record documentation..
Job Information Humana Triage Nurse (RN) - Beach Blvd in ... a hard-working and dedicated Triage Nurse to promote and restore patients' ... possible acute conditions. The triage nurse will..
... Information Humana Care Manager, Telephonic Nurse 2/ Adult and Pediatric Sickle ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... maintain all activities and processes necessary to maintain compliance with NCQA ... providers throughout the region. Weekly..
... Quality Compliance Professional 2 completes medical records reviews for Coordination of ... corrective actions as needed. Reviews medical records for supplemental data and ... Required Qualifications Associate Degree Registered..
... Care Manager, Onsite / Telephonic Nurse 2/ Adult and Pediatric Sickle ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic..
... the state of Florida with no restrictions/disciplinary actions Minimum of 1-2 ... of 1-2 years of supervisory experience 3-5 years of nursing experience, preferably in care management Existing .....
... Humana Conviva Orange Park - Nurse Practitioner/Float in Orange Park Florida ... environment for all. Responsibilities: The Nurse Practitioner (NP) works in our ... professionals, Pharm D, Care Coach..
... talents to a leader in medical technology and healthcare solutions. Rooted ... history of mission-driven innovation, our medical technologies open doors. We support ... and 2 years of work..