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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..
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 .....
... 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..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Rico Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..
... physician. Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and ... Routinely meets with the Clinical Manager to discuss personnel and patient ... Annually Completes initial and annual..
Job Information Humana RN Manager, Care Management/HMS (FULLY BILINGUAL English/Spanish) ... Juan Puerto Rico Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... goals. Responsibilities Job Description The Manager, Care Management oversees..
... 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..
Job Information Humana Manager, Care Management/HMS (RN FULLY BILINGUAL ... Juan Puerto Rico Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management..
... Humana Medicaid Associate Director, Compliance Nursing in San Juan Puerto Rico ... Description The Associate Director, Compliance Nursing reviews utilization management activities and ... abuse. The Associate Director, Compliance..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
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 ..