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Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization ..
... Behavioral Health Professional 2 - Registered Nurse completes telephonic and/or faxed reviews ... Compact State Licensed as a Registered Nurse (RN) Minimum of 3 year ... Preferred Qualifications Experience..
... Behavioral Health Professional 2 - Registered Nurse completes telephonic and/or faxed reviews ... in Nursing Licensed as a Registered Nurse (RN) with a Compact State ... Desired Qualifications Experience..
... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... Responsibilities The Care Manager, Telephonic..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere ... City New Jersey Description The Nurse Auditor 2 performs clinical audit/validation ... to support optimal reimbursement. The Nurse Auditor 2..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Jersey City New Jersey Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Jersey City New Jersey Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will ..
... The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... The Intern - Care Manager, Registered Nurse, RN, will utilize Humana's Florida ... action. The Care..
Job Information Humana Manager, Utilization Management RN - Remote in Jersey City New Jersey Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
Description The Compliance Nurse 2 reviews utilization management activities ... waste, and abuse. The Compliance Nurse 2 work assignments are varied ... courses of action. The Compliance Nurse 2 will..
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. Responsibilities ..
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 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..
... Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Jersey City ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager,..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Jersey City New Jersey Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews ..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC state required in Jersey City New Jersey Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and ..
Job Information Humana Utilization Management Registered Nurse - Remote in Jersey City ... Jersey Description The Utilization Management Nurse utilizes clinical nursing skills to ... administration determinations. The Utilization Management..
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 ..
Job Information Humana Utilization Management Registered Nurse, RN 2 in Jersey City ... Jersey Description The Utilization Management Nurse applies a Person-Centered approach, works ... problems. Responsibilities The Utilization Management..