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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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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..
... may involve additional occupational health nurse duties as assigned by manager. ... working with team members at or away from work in relationship ... state license as a Registered..
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..
... 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..
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..
... and regulations of the State Nurse Practice Act, while working under ... of the Occupational Health Manager or Supervisor.Delivers direct care for employees ... and regulations of the State..
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 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..
... 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..
Description The Compliance Nurse 2 reviews utilization management activities ... waste, and abuse. The Compliance Nurse 2 work assignments are varied ... courses of action. The Compliance Nurse 2 will..
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..
... of treatment as approved by physician, performs ongoing evaluation of patient ... where the analysis of situations or data requires an in-depth evaluation ... Clinical Assessment Advisor works with..
Job Information Centerwell Nurse Practitioner, Implementation and Training Team in ... in Family Medicine, Internal Medicine or Geriatric Medicine with continued certification ... Management, (VBC) Value Based Care and/or healthcare..
... and alcohol testing, spirometry testing or audiometric testing; maintaining OSHA, state ... state license as a Registered Nurse required. Experience: 1 plus years' ... relative to occupational health nursing..
... 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..
... 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..
... 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..
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..
