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Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market ..
Job Information Humana Nurse Advice Line Telephonic Nurse 2 in Birmingham Alabama Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
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 ..
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 ..
... Sign On Bonus Occupational health nursing is the specialty practice that ... Education: Completion of a registered nursing program, required. Current unrestricted state ... experience in the performance of..
SUMMARY: This position is responsible for providing primary and emergency care for occupational and non-occupational injuries and illnesses; performing required health assessments for specified programs; conducting required screening tests such as ..
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 ..
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 ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Occupational health nursing is the specialty practice that ... Education: Completion of a registered nursing program, required. Current unrestricted state ... experience in the performance of nursing skills relative to..
SUMMARY: This is a permanent position that will be responsible for working with team members at or away from work in relationship to communicable disease. This includes performing enhanced symptom screenings, ..
Description The 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 Behavioral ..
... Humana Medicaid Associate Director, Compliance Nursing in Birmingham Alabama Description The ... Description The Associate Director, Compliance Nursing reviews utilization management activities and ... abuse. The Associate Director, Compliance..
