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Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... benefit administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding of..
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Job Information Humana Medicaid Associate Director, Compliance Nursing in Newport Rhode Island Description ... Rhode Island Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Make a difference in the lives of patients/residents in their personal journey with dementia as our Memory Support Director. In this role, you will develop and maintain a quality memory support ..
... make a difference.Advance in your nursing career to a leadership role ... with Genesis by joining our nursing team as an RN Supervisor! ... shift, you will support the..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Newport Rhode Island Description ... Rhode Island Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
... the overall operations for the nursing center starting a 5 PM ... turn over responsibility to the Director of Nursing at 7a Monday. The employee ... hours per day..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
Job Information Humana Director, Behavioral Health Strategy in Newport Rhode Island Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
Job Description A hospital in Rhode Island is seeking a Senior Medical Dosimetrist to join its experienced Radiation Oncology team, Elekta and TrueBeam; Pinnacle TPS; Mosaiq/Aria R&V; HDR Oncentra; 2 site ..
Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..
... in humanities, international relations and nursing. Enrollment includes more than 2,600 ... responsibilities as assigned by the Director of Health Services.nENVIRONMENTAL CONDITIONS:nThe employee ... communities.nnREQUIRED QUALIFICATIONS:nEducation: Master's degree in..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
... Join Genesis as a Unit Manager/Director - RN where within an ... unit you will support the Director of Nursing with the delivery of high ... operations, coordination and..
Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Newport Rhode Island Description As a company whose primary focus is on the well-being of its members, Humana is ..
Join our Team! Become our Director of Social Services! Work Closely ... exceeding CDC and CMS standards.The Director of Social Services oversees the ... Social Services Department in the nursing..