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Description The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient outcomes. The Nurse Practitioner works on problems of diverse scope and complexity ranging from moderate to substantial. ..
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Job Information Humana Pre-Authorization Nursing Supervisor - Remote Florida in Tampa Florida Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and ..
Job Information Humana RN Senior STARS Improvement Professional - Broward and Palm Beach county in Tampa Florida Description The Senior STARS Improvement Professional develops, implements, and manages oversight of the company's ..
Description The Senior STARS Improvement Professional develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs all Stars quality improvement programs and initiatives. The Senior STARS Improvement Professional work ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in Tampa Florida The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in Clearwater Florida The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, ..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Company Summary Taking care of our customers, our communities and ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere ... in Tampa Florida Description The Nurse Auditor 2 performs clinical audit/validation ... to support optimal reimbursement. The Nurse Auditor 2..
Description The Supervisor, Care Management leads teams of nurses responsible for care management. The Supervisor, Care Management works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable ..
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 Sr. Stars Improvement - Medical Record Review Focus in Tampa Florida Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of ..
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 ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Tampa Florida Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
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 ..
Job Information Kindred at Home RN Clinical Manager Home Health Full Time - Tampa, FL in Tampa Florida The Clinical Manager coordinates and oversees all direct care patient services provided by ..
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 ..
Job Information Centerwell RN Clinical Manager in St. Petersburg Florida The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes ..
Job Information Humana Senior Compliance Nurse - Remote FL in Tampa ... Florida Description The Senior Compliance Nurse reviews utilization management activities and ... and abuse. The Senior Compliance Nurse..
Posted: 26-Feb-22 Location: Tampa, Florida Salary: Open Categories: General Nursing Internal Number: 102443454 There's an energy and excitement here, a shared mission to improve the lives of others as well as ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Tampa Florida Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Job Information Humana RN Senior STARS Improvement Professional - South Florida, Treasure Coast and Brevard County area in Tampa Florida Description The Senior STARS Improvement Professional develops, implements, and manages oversight ..