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Description The Director of Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health ..
... Humana Medicaid Associate Director, Compliance Nursing in Washington District Of Columbia ... Description The Associate Director, Compliance Nursing reviews utilization management activities and ... abuse. The Associate Director, Compliance..
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Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
... discharge plan of care. All nursing practice is based on the ... of practice, national and specialty nursing standards, HSC Policies and Procedures, ... (Required)2 years Neonatal/pediatric ICU experience...
Description All nursing practice is based on the ... of practice, national and specialty nursing standards, Children's National Policies and ... at least three in clinical nursing. At least one..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
... administrative tasks, as needed. All nursing practice is based on the ... of practice, national and specialty nursing standards, Children's National Policies and ... Journey of Children's National. Ensure..
Description The Director, Health Services Nursing serves as the strategic leader ... Director, Utilization Management Behavioral Health Nursing utilizes clinical nursing skills to support the coordination, ... Director, Utilization Management..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Description Humana is a publicly traded, Fortune 100 health benefits company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company ..
... Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in ... Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... determinations. The..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions ..
Posted: 28-Feb-22 Location: Washington, D.C. Salary: Open Categories: General Nursing Internal Number: 108238 Responsibilities Job Summary (Part Time / Every Other Weekend - No DC license required till August 2022) The ..
Job ID 21000FRDAvailable Openings 1Position Specific Information Dialysis experience required RN license required Full-time role PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer support and case management for Fresenius Kidney ..
Job Information Humana Manager, Utilization Management RN - Remote in Washington District Of Columbia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
... Nationwide Associate Director, Utilization Management Nursing in Washington District Of Columbia ... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in Washington District Of Columbia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates ..
Posted: 02-Mar-22 Location: Washington, D.C. Salary: Open Categories: General Nursing Internal Number: 129192 Responsibilities The George Washington University Hospital (GW Hospital) is a 395-bed tertiary care, academic medical center located in ..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Washington District Of Columbia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
Description The RN Case Management Process Advisor also known as a Case Management Liaison (CML) will oversee the processing of referrals from Military Treatment Facilities (MTFs) and civilian providers. The RN ..
