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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 ... Peer Reviews Department hours are 7-6:30 p.m. CST, shifts are based ... and can change at..
... Behavioral Health Professional 2 - Registered Nurse completes telephonic and/or faxed reviews ... p.m. CST or 8am - 7:30 p.m. EST, shifts are based ... and can change at..
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..
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..
... with the company and being part of something great! Location : ... of utilization management experience Licensed Registered Nurse (RN) in the state in ... mileage is reimbursed Being..
... Dialysis or Healthcare experienced required Full-Time variable schedule Monday through Saturday, ... variable schedule Monday through Saturday, 3-4 days a week, Sundays OFF ... accountability. As a Peritoneal Dialysis..
... managed care review experience Licensed Registered Nurse (RN) in either Florida or ... the state in which the nurse will be required to practice ... Competitive 401k match Generous..
... 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..
... date of hire Required Qualifications Registered Nurse in an eNLC state Required ... to be licensed as a registered nurse in multiple states without restrictions. ... are available. Interview..
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..
Start Date: ASAP DISRUPTING THE TYPICAL AGENCY MODEL Managed by an experienced team of Healthcare Staffing Pioneers, Accountable thinks a little differently from the normal staffing structure out there. Our team ..
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..
... 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 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 ..
... Life Insurance 401(k) PTO including 7 paid holidays, one personal holiday, ... holiday, one day of volunteer time off, 23 days of annual ... caregiving leave, and weekly well-being..
... 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,..
