Nurse Analyst Jobs

Job Information Humana Medicaid Associate Director, Compliance Nursing in Salem Oregon Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..

:,ActualValueFromSolar:null},{QuestionName:Work Location,AnswerValue:Winston Salem, NC - 329 ,VerityZone:location,QuestionType:select,ActualValueFromSolar:null},{QuestionName:Job Purpose,AnswerValue:The Registered Nurse is responsible for providing emergency response care, first aid and episodic treatment of occupational injuries and illnesses. RN will maintain accurate ..

Description The Pre-Authorization Nurse 2 reviews Genetic testing prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The ..

... AND SCOPE: The registered professional nurse (CAP RN 1) position is ... appropriately credentialed physician, patient’s primary nurse and others as may be ... appropriate physician, and acute primary..

Description The Senior Nursing Educator plans, directs, coordinates, evaluates, develops, and/or delivers training and education programs for professional nursing personnel. The Senior Nursing Educator work assignments involve moderately complex to complex ..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere ... in Salem Oregon Description The Nurse Auditor 2 performs clinical audit/validation ... to support optimal reimbursement. The Nurse Auditor 2..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

Specialty: RN-ICU-TravelJob Description Assist physicians with patient management Provide patient care to patients Collaborate with other disciplines to ensure effective and efficient patient careQualifications and Job Info 1-2 years of recent ..

... AND SCOPE: The registered professional nurse (CAP RN 1) position is ... and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as ... a Team Leader or designated..

Description RN - Provider Clinical Liaison contributes to administration of utilization management. The RN - Provider Clinical Liaison work assignments involve moderately complex to complex issues where the analysis of situations ..

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..

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 ..

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 ..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Salem Oregon Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..

Specialty: Travel RN-PsychiatryJob Description Psychiatric unit nurses are usually assigned a caseload of patients and provide direct care to their patients, which includes facilitating social and emotional needs, supervising medication schedules ..

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 ..

Specialty: RN-Emergency Department -TravelJob Description ER nurses work as part of a team with physicians, other nurses and healthcare professionals to provide care, monitor health conditions, plan long-term care needs, administer ..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Salem Oregon Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..

Description The RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..

Specialty: RN-Med SurgJob Description Assessing, planning, implementing, and evaluating patient care plans in consultation with healthcare professionals. Evaluating medical information, as well as providing direct and individualized bedside nursing care to ..

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 ..