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... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care Manager will assist beneficiaries as they ... Military TRICARE - PDC Care..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... Government. Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will..
... patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All ... Care policy, procedures, standards of nursing practice, state and federal regulations. ... the direction of the Clinical..
Job Information Humana Nurse Auditor 2-Remote/Virtual in US in Wilmington Delaware Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services ..
Job Information Humana Telephonic Care Manager in Dover Delaware Description The ... Delaware Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
Description The Manager, Compliance Nursing reviews utilization management activities and ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines and ... schedules and goals. Responsibilities The..
... of service. The Director of Nursing combines nursing and administrative skills to meet ... the challenge of leading the nursing operations in a nursing center. You will coordinate the..
... the position of Assistant Nurse Manager. 5C (40 bed) Teaching Medical ... for all aspects of daily operations in both units with the ... both units with the Nurse..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... to resources, approach, and tactical operations for projects and..
... physician. Initiates Initial and Annual Nursing Assessment and ongoing evaluation and ... Routinely meets with the Clinical Manager to discuss personnel and patient ... due. AnnuallyCompletes initial and annual..
... Dover Delaware Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... that provides Humana members with..
... are seeking an Assistant Nurse Manager our Medical/Surgical Unit (4W) at ... for all aspects of daily operations in both units with the ... both units with the Nurse..
... Nationwide Associate Director, Utilization Management Nursing in Dover Delaware Description The ... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Dover Delaware Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
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 ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Delaware Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..
... patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties ... Care policy, procedures, standards of nursing practice, state and federal regulations. ... the direction of the Clinical..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Description The Director, Health Services Nursing serves as the strategic leader ... Director, Utilization Management Behavioral Health Nursing utilizes clinical nursing skills to support the coordination, ... Director, Utilization Management..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and .....
... care while maintaining cost-effective clinical operations in accordance with all legal, ... of an accredited School of Nursing (RN). Current appropriate state licensure. ... 12 months experience in clinical..
