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Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from ... The NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about Humana ... and work independently. Responsibilities..
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... of clerical, office, customer service, or other administrative work that indicates ... employees may be reassigned, promoted, or changed to a lower grade ... have their temporary appointment extended..
... and policies, and approves services or forward requests to the appropriate ... of Utilization Management (UM), Pre-Auth, or other managed care review experience ... care review experience Licensed Registered..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... and communication of medical services and/or benefit administration determinations. The Utilization ... administration determinations. The Utilization Management Nurse 2..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... needs and requirements to achieve and/or maintain optimal wellness state by ... members. The Care Manager, Telephonic Nurse..
... The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and ... The Utilization Management Behavioral Health Nurse completes medical record reviews from ... Associate's Degree in Nursing Registered..
... Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... Intern - Care Manager, Registered Nurse, RN, will utilize Humana's Florida ... and determine necessities to achieve..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, ... needs and requirements to achieve and/or maintain optimal wellness state by ... members. The Care Manager, Telephonic Nurse..
Description The Care Manager, Telephonic Nurse 2 employs a variety of ... monitoring patient care through assessments and/or evaluations. Responsibilities The first 4 ... Duties: Telephonically assess Medicare, Medicaid, and/or..
... where the analysis of situations or data requires an in-depth evaluation ... coach assigned providers, providers groups and/or MSO groups on gap closing ... through in-person, virtual, telephone, email..
Description The Nurse Auditor 2 performs clinical audit/validation ... support optimal reimbursement. Responsibilities The Nurse Auditor 2 validates and interprets ... guidelines/procedures. Required Qualifications Active Registered Nurse (RN) license CPT..
... The Weekend Telephonic Utilization Management Nurse 2 utilizes clinical nursing skills ... and communication of medical services and/or benefit administration determinations. The Utilization ... administration determinations. The Utilization Management..
... Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... needs and requirements to achieve..
... Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and ... waste, and abuse. The Compliance Nurse work assignments are varied and ... and overtime. Responsibilities The Compliance..
Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... needs and requirements to..
Description The Nurse Auditor 2 will work on ... clinical lab audit concepts. The Nurse Auditor 2 will perform clinical ... fraud, waste, and abuse. The Nurse Auditor 2 work..
Description The Utilization Management Nurse 1 utilizes clinical nursing skills ... and communication of medical services and/or benefit administration determinations. The Utilization ... administration determinations. The Utilization Management Nurse 1..
... condition. The Care Manager, Telephonic Nurse 2 employs a variety of ... Telephonically assess Medicare, Medicaid, Commercial, and/or and Group Account members in ... needs and requirements to achieve..
... Behavioral Health Care Manager, Telephonic Nurse, in a telephonic environment, assesses ... needs and requirements to achieve and/or maintain optimal wellness state by ... members. The Care Manager, Telephonic..
