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... you will: Developing and creating pre-authorization lists by each state Complete ... Associates degree in Nursing Registered Nurse 5 or more years of ... processes Role Desirables BSN degree..
Description The Pre-Authorization Nurse reviews prior authorization requests for appropriate care and ... Humana's Kentucky Medicaid Plan. The Pre-Authorization Nurse work assignments are often straightforward ... Where you Come In..
Description The Pre-Authorization Behavioral Health Professional 2 reviews ... Health Professional 2 reviews prior authorization requests for appropriate care and ... forwards requests as needed. The Pre-Authorization Behavioral Health Professional..
... Developing and implementing Clinical Prior Authorization policies, processes, detailed workflows, and ... timeframes for turnaround times on authorization requests, clinical claims reviews and ... you to participate in a..
Description CarePlus is seeking a Nursing Educator 2 who will plan, direct, coordinate, evaluate, develop, and/or deliver training and education programs for professional nursing personnel. The Nursing Educator 2 work assignments ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME ... Louisville Kentucky Description The Supervisor, Pre-Authorization Nursing will be managing the ... the team that reviews prior authorization requests..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and ... performed without direction. Responsibilities Senior Pre-Authorization Nurse: Serves as a team lead ... to identify trends..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly owned subsidiary of Humana, ..
Description The Nurse Auditor 2 will work on ... clinical lab audit concepts. The Nurse Auditor 2 will perform clinical ... fraud, waste, and abuse. The Nurse Auditor 2 work..
... and communication of home health authorization requests managed by the Utilization ... managed by the Utilization Management Nurse and UM Administration Coordinator team. ... or BSN degree Licensed Registered..
Description The Pre-Authorization Nurse 1 reviews prior authorization requests for appropriate care and ... to the appropriate stakeholder. The Pre-Authorization Nurse 1 work assignments are often ... 9a - 6p...
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... and by leader. Utilization Management Nurse 2..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and ... the appropriate stakeholder. The Supervisor, Pre-Authorization Nursing works within thorough, prescribed ... analytical approach. Responsibilities The..
Description The Care Manager, Telephonic Nurse Assistant 3, in a telephonic ... well-being. The Care Manager, Telephonic Nurse Assistant 3 performs advanced administrative/operational ... you to participate in a pre-recorded..
Job Information Humana Pre-Authorization Registered Nurse, RN, 1 in Louisville Kentucky ... in Louisville Kentucky Description The Pre-Authorization Nurse 1 reviews prior authorization requests for appropriate care and ... to..
Description The Pre-Authorization Nurse reviews prior authorization requests for appropriate care and ... Humana's Kentucky Medicaid Plan. The Pre-Authorization Nurse work assignments are often straightforward ... interpretation Required Qualifications Licensed..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... action. Responsibilities The Utilization Management Nurse 2..
Job Information Humana Pre-Authorization Nurse 1 - Remote KY in ... in Louisville Kentucky Description The Pre-Authorization Nurse 1 reviews prior authorization requests for appropriate care and ... to the..
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior ... 2 reviews Genetic testing prior authorization requests for appropriate care and ... to the appropriate stakeholder. The Pre-Authorization Nurse 2..
Job Information Humana RN, Prior-Authorization - Medicaid - Remote Kentucky ... in Louisville Kentucky Description The Pre-Authorization Nurse reviews prior authorization requests for appropriate care and ... Humana's Kentucky Medicaid..
