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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..
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..
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... 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..
... group practice with centers open or opening in Florida, Georgia, Kansas, ... environment for all. Responsibilities The Nurse Practitioner (NP) works in our team-based ... professionals, Pharm D, Care..
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..
... AND SCOPE: The registered professional nurse (CAP RN 1) position is ... guidance from the Educator, Preceptor or a CAP RN 2, 3, ... CAP RN 2, 3, 4..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for ... as assigned by Supervisor, Manager and/or Director. 5% Utilizes established reporting ... description in no way states or..
We Are Hiring Registered Nurse (RN) - Cardiovascular - St. ... Good communication skills. No nights or weekends, great benefits! Benefits include: ... care. Note and carry out physician and..
... direct supervision of a registered nurse. Participates in the implementation and ... reporting and documenting all new or unusual incidents, information, complaints, or problems to the supervisor. Promotes .....
... and policies, and approves services or forwards requests as needed. The ... Health Professional 2 - Registered Nurse you will contribute to the ... unrestricted license from list: Registered..
... 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,..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... 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 ... 7am -..