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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 ..
... 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..
Job ID 21000EIKAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
... 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..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Portsmouth New Hampshire Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible ..
Job ID 21000M2SAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
PURPOSE AND SCOPE:The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision ..
Wentworth-Douglass Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and ..
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 ..