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Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere ... in Louisville Kentucky Description The Nurse Auditor 2 performs clinical audit/validation ... to support optimal reimbursement. The Nurse Auditor 2..
Job Information Humana Nurse Practitioner in Louisville Kentucky Description ... in Louisville Kentucky Description The Nurse Practitioner applies advanced education and ... achieve optimal patient outcomes. The Nurse Practitioner works..
Description The Supervisor, 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 Supervisor, Compliance ..
PURPOSE AND SCOPE:The professional registered nurse Inpatient Services RN CAP 1 ... in collaboration with another Registered Nurse.Performs ongoing, systematic collection and analysis ... notifies Supervisor, Physician, patient’s primary nurse..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..
About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..
... AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is ... and notifies Team Leader Charge Nurse Supervisor or Physician as needed.Assesses ... a Team Leader or designated..
... AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may ... and notifies Team Leader Charge Nurse Supervisor or Physician as needed.Assesses ... a Team Leader or designated..
Provides consultation, research, and investigation of medical records Provides medical record chronology, summary, and/or analysis Researches medical literature for cases Provides anatomy and pathophysiology education to attorneys Analyzes pre-deposition and post-deposition ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Louisville Kentucky Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Job Information Humana CenterWell - Nurse Practitioner - Louisville, KY(Churchill Downs) ... in Louisville Kentucky Description The Nurse Practitioner applies advanced education and ... achieve optimal patient outcomes. The Nurse..
Job Information Centerwell RN Clinical Manager Home Health Full Time in Louisville Kentucky The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, ..
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 ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Louisville Kentucky Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
Job Information Humana Manager, UM Nursing - Home Solutions UM Team in Louisville Kentucky Description The Manager, Utilization Management Nursing utilizes clinical and leadership skills to support the coordination, documentation and ..
RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..