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... Humana Medicaid Associate Director, Compliance Nursing in Las Vegas Nevada Description ... Description The Associate Director, Compliance Nursing reviews utilization management activities and ... abuse. The Associate Director, Compliance..
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 .....
Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... Care Management Team, the care manager..
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 ..
Job DescriptionrnrnAre you tired of being relegated to back-office functions? Do you feel you have the capacity to drive human capital in an organization to extraordinary levels?rnNevada Pediatric Specialists is currently ..
... services and personnel. Supervises all nursing personnel who deliver direct patient ... oversees the operation of the nursing program and services necessary to ... input and skills of the..
Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Las Vegas Nevada Description The Risk Management Professional 2 identifies and analyzes potential sources ..
Job Information Humana Senior Market Development Professional-RN-WAH Nationwide in Las Vegas Nevada Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product ..
... FVC/FMS policy requirements. Provides direct nursing care pre, during and post ... the direction of the Facility Manager and/or Charge Registered Nurse, utilizing ... Charge Registered Nurse, utilizing standard..
... 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..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Las Vegas Nevada Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..
... Nationwide Associate Director, Utilization Management Nursing in Las Vegas Nevada Description ... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... schedules and goals. Responsibilities The Manager, Care Management oversees..
... 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 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 ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... Las Vegas Nevada The Clinical Manager coordinates and oversees all direct ... implements, analyzes, and organizes clinical operations..
Job Information Humana Telephonic Care Manager in Las Vegas Nevada Description ... Nevada Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
... 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..
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 Manager, Care Management, CenterWell Las Vegas, ... welcoming environment for all. The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management..
