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... documentation and communication of medical services and/or benefit administration determinations. The ... team is expanding our shared services organization to enhance the clinical ... most appropriate treatment, care or..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Newport Rhode Island Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible ..
... to make determinations whether requested services, requested level of care, and/or ... grievance and appeals processes, and outpatient services and equipment, within their scope. ... medical interpretation and determinations..