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... 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..
... practice, higher education, and literature review. Leadership/Credibility: Demonstrates leadership through sharing ... Job Info 2 Years of experience - Required Travel - highly ... $1500 Referral bonus programAbout UsAll..
The Ambulatory Care Nurse Manger is a working clinical ... Care and Specialty Clinic registered nurse as needed. Demonstrates initiative and ... the selected candidate's education and experience and recommends..
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..
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..
... of Nursing with current Registered Nurse (RN) licensure. LPNs with MDS ... (RN) licensure. LPNs with MDS experience may be considered. * One ... of long-term care clinical nursing..
... wound, and incontinent products.*Oversee durable medical equipment related to the prevention ... RN license (MPT/DPT with leadership review/approval) *Must complete Skin Health Team ... requirements will be provided) *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..
... and provide oversight for durable medical equipment related to the prevention ... automated incident/prevalence reporting available - no additional paperwork! Obtain immediate skin/wound ... RN license (MPT/DPT with leadership..
... 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..
... This position educates and performs medical eligibility assessments of WV Medicaid ... Pre-Admission Screening for determination of medical eligibility. Personal Care RNs must ... Participate in denial hearings as..
... The Supervisor, Pre-Authorization Nursing: Completes medical necessity and level of care ... refers to internal stakeholders for review depending on case findings. Educates ... Educates providers on utilization and..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... Join Us! The Utilization Management Nurse 2 uses clinical knowledge, communication ... facilitate optimal care and treatment..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for ... without direction. Responsibilities Senior Pre-Authorization Nurse: Serves as a team lead ... outcomes, and process efficiencies. Completes medical necessity..
... wound, and incontinent products.Oversee durable medical equipment related to the prevention ... RN license (MPT/DPT with leadership review/approval) *Must complete Skin Health Team ... requirements will be provided) *Clinical..
... from patient Pre-Admission through Concurrent Review using standard and plan review forms to justify clinical necessity ... clinical necessity according to payer review schedule. *Review Pre-Admission Review (PAR) and..
... Join as an Infection Control Nurse - RN. Protecting the safety ... for nurses administering tuberculosis testing. Review the immunization documentation/status for all ... of nursing with current registered..
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..