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... understand service requirements. Maintains nursing guidelines by writing and updating ... policies and procedures. Maintains nursing operations by initiating, coordinating, and enforcing ... developing and interpreting hospital..
... Springfield Missouri Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... that provides Humana members with..
... Humana Medicaid Associate Director, Compliance Nursing in Springfield Missouri Description The ... Description The Associate Director, Compliance Nursing reviews utilization management activities and ... abuse. The Associate Director, Compliance..
... Nationwide Associate Director, Utilization Management Nursing in Springfield Missouri Description The ... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Springfield Missouri Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
Job Information Humana Manager, Care Management(Behavioral Health) - Ohio ... our behavioral health care management operations and staff to ensure timely ... quality patient care and effective operations. Collaborate with..
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..
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..
DispatchHealth is looking for a Lead Nurse Practitioner/Physician Assistant (Advanced Practice Provider or APP) to join our growing clinical team in the Springfield, MA area.nThe Lead APP at DispatchHealth will assist ..
... 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..
... 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..
... difference.Join Genesis as a Unit Manager/Director - RN where your clinical ... greater autonomy. In your assigned nursing unit, you will support the ... will support the Director of..
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..
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 Telephonic Care Manager in Springfield Missouri Description The ... Missouri Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
... or behavioral health care management operations and staff to ensure timely ... quality patient care and effective operations. Collaborate with relevant internal and ... management. For Behavioral Health, C.M...
... 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 Program..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Missouri Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..
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 ..