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... 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 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..
... Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management in Troy Michigan ... Auditor for the Care and or Utilization Management team collects and ... analyzes data..
... 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 Senior Pre-Authorization Nurse reviews prior authorization requests for ... and policies, and approves services or forward requests to the appropriate ... without direction. Responsibilities Senior Pre-Authorization Nurse: Serves..
... 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 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..
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 2 utilizes clinical nursing skills ... and communication of medical services and/or benefit administration determinations for Humana's ... Medicaid Plan. The Utilization Management Nurse 2..
... 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..
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..
... and communication of medical services and/or benefit administration determinations. The Utilization ... Join Us! The Utilization Management Nurse 2 uses clinical knowledge, communication ... and most appropriate treatment, care..
... 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..
... DaVita is seeking a Registered Nurse who is looking to give ... dealing with end-stage renal failure or chronic kidney disease. Do you ... take place in a facility..
... 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..
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..
... Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... Intern - Care Manager, Registered Nurse, RN, will utilize Humana's training ... and determine necessities to achieve..
... and policies, and approves services or forward requests to the appropriate ... and daily operations. Performs escalated or more complex work of a ... policies. Required Qualifications Active Registered..
... 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..
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