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... Humana Medicaid Associate Director, Compliance Nursing in San Antonio Texas 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 .....
... Antonio Texas Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... that provides Humana members with..
... program while maintaining cost-effective clinical operations in accordance with all legal, ... Home Therapy Department. Manages the operations of one or more HT ... completion of Initial and Annual..
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..
... 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..
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 Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in San Antonio Texas Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..
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 Information Humana Manager, Clinic/Center Administration - San Antonio ... San Antonio Texas Description The Manager, Clinic/Center Administration plans and directs ... in a clinical setting. The Manager, Clinic/Center Administration..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Texas Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..
Job Information Humana Telephonic Care Manager in San Antonio Texas Description ... Texas Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
... Nationwide Associate Director, Utilization Management Nursing in San Antonio Texas Description ... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate..
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..
... 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..
... 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..
** This position is full-time with excellent compensation, benefits within 30 days that include PTO, paid holidays, annual bonus potential, annual reviews, tuition reimbursement, mileage reimbursement along with opportunities for continued ..
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..
