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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 ..
... restore patients' health through direct nursing care to assigned patients within ... to assigned patients within the nursing process; collaborate with physicians and ... research into specialized areas of..
... direct patient care utilizing the nursing process in the ambulatory setting ... setting under direction of the Director and Executive Director of Ambulatory Clinics and the ... Ambulatory Clinics..
Description The Compliance Nurse 2 reviews medical management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Nursing House Supervisor - PRN Department: ... and resources. Actively participate in nursing strategic initiatives such as quality ... in conjunction with the unit director or designee with the plan..
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 ..
RN Utilization Review - PRN 0.3 Department: Case Management Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope The Utilization Review Nurse performs utilization review of all patients presenting ..
Nursing House Supervisor - PT 0.5 ... and resources. Actively participate in nursing strategic initiatives such as quality ... in conjunction with the unit director or designee with the plan..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Albuquerque New Mexico Description ... New Mexico Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
