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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..
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... for Disease Management and Personal Nurse programs throughout the continuum of ... Facility (MTF) UM/CM/DM staff, physicians or providers to ensure there is ... in coordination with the beneficiaries'..
... Requirements: Education/Certifications: High School Diploma or equivalent combination of experience and ... experience and education. Certified Nursing Assistant or Medical Assistant certification preferred. Ability to meet ... Broad knowledge..
... 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..
Amada Senior Care of Southern Maine 142 High Street, 2nd Floor Portland, ME 04101 (207) 305-2233 We supply the best Personal Protective Equipment (PPE) to our Caregivers. Your safety is our ..
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 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..
... 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..
... 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,..
... 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..
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 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..
... the team with a Senior Nurse Auditor roles! This is a ... you answered YES to one or more of the above you ... should strongly consider the Senior..
... 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 -..
