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Description The Senior Policy Governance Professional policy Governance is the combination of Compliance processes established and executed that are reflected in the organization's structure and how it is managed and led ..
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Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... action. Responsibilities 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 ... Humana is looking for a Nurse Auditor 2 Professional..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
Description The Senior Nursing Educator plans, directs, coordinates, evaluates, develops, and/or delivers training and education programs for professional nursing personnel. The Senior Nursing Educator work assignments involve moderately complex to complex ..
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior ... the appropriate stakeholder. The Pre-Authorization Nurse 2 work assignments are varied ... every other month. The Pre-Authorization Nurse 2 completes..
... of hire Role Essentials Registered Nurse in an eNLC state Ability ... be licensed as a registered nurse in multiple states without restrictions. ... subjected to nicotine testing as..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... Monday, Tuesday The Utilization Management Nurse 2..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... courses of action. Responsibilities The RN..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... Responsibilities The Care Manager, Telephonic Nurse..
... Health Professional 2 - Registered Nurse completes telephonic and/or faxed reviews ... and can change at any time Required Qualifications Minimum of Associates ... State Licensed as a Registered..
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 ..
... Gerontology or related field Registered Nurse (RN) licensed in the state of ... of relevant experience Licensed Practical Nurse (LPN), licensed in the state ... computer applications/systems This role..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... allows Responsibilities The Utilization Management Nurse 2..
