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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..
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... the supervision of a registered nurse and performs various personal care ... CPR Negative TB skin test or chest x-ray Must pass background ... skills Ability to express spoken..
... and communication of medical services and/or benefit administration determinations. The Manager, ... and most appropriate treatment, care or services for members. Coordinates and ... and communicates with providers, members,..
... coordinate interventions with the beneficiary's physician. Performs all duties within the ... in care, eligibility for assistance and/or need for care management program ... need for care management program..
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 ..
Description The Utilization Management Nurse utilizes clinical nursing skills to ... and communication of medical services and/or benefit administration determinations. The Utilization ... administration determinations. The Utilization Management Nurse 2..
... analyzes data daily, weekly, monthly or as needed to assess outcome ... and could lead multiple managers or highly specialized professional associates. The ... Qualifications *Bachelor's Degree in health..
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior ... and policies, and approves services or forward requests to the appropriate ... the appropriate stakeholder. The Pre-Authorization Nurse 2 work..
Description The Nurse Auditor 2 performs clinical audit/validation ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are ... courses of action. Responsibilities The Nurse Auditor 2 validates..
Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization ..
Attention Plus Care is seeking a compassionate and professional Registered Nurse to provide direct care for clients in their own home. Primary responsibilities will include observation, implementation, evaluation, and documentation of ..
... and communication of medical services and/or benefit administration determinations. The Utilization ... Health Professional 2 - Registered Nurse completes telephonic and/or faxed reviews with the Utilization ... State Licensed..
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..
Description The Nurse Auditor 2 performs clinical audit/validation ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are ... Humana is looking for a Nurse Auditor 2 Professional..
Attention Plus Care is seeking a compassionate and professional overnight Registered Nurses to provide direct care for clients in their own home. Primary responsibilities will include observation, implementation, evaluation, and documentation ..
We are currently accepting resumes for Pediatric RN's to work with our Pediatric Home Care Clients. Candidates with at least 1 year experience with Vents, Trachs, Gtubes preferred. Attention Plus Care ..
