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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 ..
Clinical Coding We are a fast-growing tech company that provides a SaaS-based healthcare analytics platform for medical records analysis and targeted solutions for HEDIS® Hybrid, Medicare and Exchange Risk Adjustment and ..
Job Information Humana Senior Stars Improvement, Clinical Professional (RN/LPN) - Remote NY, NJ, CT in Jersey City New Jersey Description The Senior Stars Improvement, Clinical Professional (RN/LPN) role focuses on clinical ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for ... without direction. Responsibilities Senior Pre-Authorization Nurse: Serves as a team lead ... more of varied nursing experience Registered Nurse..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... Medicaid Plan. The Utilization Management Nurse 2 work assignments are varied ... action. Responsibilities The Utilization Management Nurse 2..
... accountability. As a Peritoneal Dialysis Registered Nurse (PD RN), you will be ... * Wear many hats from Nurse, to Coach, to Leader. o ... through to becoming a..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Job Information Humana Senior Stars Improvement, Clinical Professional (RN/LPN) - Remote NY, NJ, CT, MA, ME, NH in Jersey City New Jersey Description The Senior Stars Improvement, Clinical Professional (RN/LPN) role ..
