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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 .....
... 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..
... EMTC reports to the Chief Nursing Officer, Vice President of Nursing and operates within a multidisciplinary ... campus oversees day to day operations and physician activities. Associate and .....
... eMSM and Humana Military Field Operations by attending eMSM meetings as ... 10% Provide feedback to Regional Manager on issues that may require ... on issues that may require..
... programs which require the case manager to meet the patient, the ... RN required with active unrestricted nursing licensure in practicing state – ... – 2 years’ of Nephrology..
... be able to leverage your nursing skills for patients who are ... leverage a broad range of nursing skills and knowledge. Not just ... able to keep learning new..
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 ..
Full-Time/Regular REGISTERED NURSE - Risk Manager INTRODUCTION The ICE Health Services ... Enforcement (ICE), Enforcement and Removal Operations (ERO) under the supervision of ... Compliance and Risk Management Program Manager..
Job ID 210008YLAvailable Openings 1Position Specific Information This position is offering a $2,000 sign-on bonus for the right person!! PURPOSE AND SCOPE:Organizes the care and follow up for late stage CKD ..
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..
Now is the chance to join a reputable acute care hospital in the Washington DC area as their Nurse Director Emergency Department!A national health system is excited to welcome an Emergency ..
... Nationwide Associate Director, Utilization Management Nursing in Washington District Of Columbia ... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate..
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 ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Columbia 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 ... Care policy, procedures, standards of nursing practice, state and federal regulations. ... the direction of the Program..
... D.C. Salary: Open Categories: General Nursing Internal Number: 129192 Responsibilities The ... REQUIREMENTS Education/Qualification BSN MS in nursing or Masters degree in related ... Inc. All healthcare and management..
... Assistants (268) Executive (64) General Nursing (3446) Nursing Support (201) Pharmacy (1) Type ... RN EvergreenHealth Kirkland, Washington CLINIC MANAGER ALVORD BRAIN TUMOR CENTER - ... Wisconsin Milwaukee, Wisconsin..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Washington District Of Columbia Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record ..
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, 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..
... as the Surgery Center Nurse Manager. This 300 bed acute care ... in a row for their nursing excellence.As the Nurse Manager, you will have the opportunity ... their..
Picture this: your leadership shaping the earliest moments of life and setting the trajectory for a future generation. This isnt just any job, its an opportunity to make a monumental difference. ..
