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Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
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..
... Behavioral Health Professional 2 - Registered Nurse you will contribute to the ... and unrestricted license from list: Registered Nurse (RN) with Compact License 3 ... improving consumer experiences..
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..
Description The Pre-Authorization Nurse 1 reviews prior authorization requests ... the appropriate stakeholder. The Pre-Authorization Nurse 1 work assignments are often ... - 6p. Responsibilities The Pre-Authorization Nurse 1 completes..
Description The Quality Compliance Nurse (RN) Professional uses quality improvement ... well-being Responsibilities The Quality Compliance Nurse (RN) Professional leads quality improvement ... established guidelines/procedures The Quality Compliance Nurse (RN)..
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 ..
Description The 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 ..
SUMMARY: This position is responsible for providing primary and emergency care for occupational and non-occupational injuries and illnesses; performing required health assessments for specified programs; conducting required screening tests such as ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... Join Us! The Utilization Management Nurse 2..
... we serve. 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..
Description The Nurse Auditor 2 validates and interprets medical documentation to ensure capture of all relevant coding. Responsibilities The Nurse Auditor 2 validates and interprets medical documentation to ensure capture of ..
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 Review Nurse (Utilization..
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 Nurse..
