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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 ..
... 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..
... SCOPE: Works with the Facility Manager, facility staff and physician to ... physician to coordinate the facility operations and patient procedures to ensure ... policies, procedures and training. Provides..
... Recommend disciplinary action to Clinical Manager and initiate as appropriate. Ensure ... the absence on the Clinical Manager ensuring compliance with applicable regulations, ... and effective matter. With Clinical..
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..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... Greenville North Carolina The Clinical Manager coordinates and oversees all direct ... implements, analyzes, and organizes clinical..
DIRECTOR OF NURSING Salary: $110,000-$120,000/year, based on experience Position Details: Hours: Full Time, 8a - 4p Monday - Friday Location: Plymouth, NC Responsibilities: Provide oversight to the daily operations Ensures standards ..
... 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..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Charlotte North Carolina Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..
... North Carolina Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... that provides Humana members with..
... Kindred at Home RN Clinical Manager - Gastonia, NC in Gastonia ... Gastonia North Carolina The Clinical Manager coordinates and oversees all direct ... implements, analyzes, and organizes clinical..
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..
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 ..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... welcoming environment for all. The Manager, Care Management oversees..
... 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..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Carolina Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..
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 Kindred at Home RN Leadership Opening! Join our Team and Grow your Nurse Career! in Charlotte North Carolina The Clinical Manager coordinates and oversees all direct care patient services ..
... Nationwide Associate Director, Utilization Management Nursing in Charlotte North Carolina Description ... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate..
... Kindred at Home RN Clinical Manager in Gastonia North Carolina The ... Gastonia North Carolina The Clinical Manager coordinates and oversees all direct ... implements, analyzes, and organizes clinical..
Job Information Humana Telephonic Care Manager in Charlotte North Carolina Description ... Carolina Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
