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Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
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Description The Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of how organization capabilities ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Description The Referrals Coordinator 2 processes referrals from Civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Typically works on semi-routine assignments. Responsibilities The Referrals ..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls ... The NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about ... and work independently. Responsibilities The Nurse..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Dover Delaware Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
... direct supervision of a registered nurse. Participates in the implementation and ... complaints, or problems to the supervisor. Promotes and assists in the ... or as directed by the..
... As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, ... plan as indicated and notify supervisor as needed.Provides initial and ongoing ... collaborative, reliable.Experience as a Registered..
Job Location NH MST - Dover - Dover, NH Position Type Full Time Education Level Masters Degree Travel Percentage Up to 50% Job Shift First Shift Job Category Nonprofit - Social ..
... direct supervision of a licensed nurse in accordance with FMCNA policies, ... patient condition directly to the nurse supervisor. Observe patient, and conduct machine ... or unusual findings to..
