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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 ..
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 ..
... 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is ... the Clinical Advancement Program for Registered Nurses. The CAP RN 1 ... and notifies Team..
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Job Information Humana Utilization Management Registered Nurse, RN 2 in Albany New ... York Description The Utilization Management Nurse applies a Person-Centered approach, works ... problems. Responsibilities The Utilization Management..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls ... The NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about ... and work independently. Responsibilities The Nurse..
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 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 ..
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: 4/3/23 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 ..
... Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Albany New ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager,..
The Center for Disability Services offers hope, innovation and achievement to the people we support.For 80 years, we have been one of upstate New Yorku2019s largest providers of programs and services ..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
... or other mid-level practitioner.nu00a0nJob Responsibilities:nThe Registered Nurse will primarily be responsible for ... nursing standards. In addition, the Registered Nurse will also assess and provide ... Advising Health Services..
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 ..
... 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 Utilization Management Registered Nurse - Remote in Albany New ... York Description The Utilization Management Nurse utilizes clinical nursing skills to ... administration determinations. The Utilization Management..
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..
... License as a Licensed Practical Nurse or Registered Nurse PRI Credentialed (If Licensed as ... Credentialed (If Licensed as a Registered Nurse) PASRR Certification u2013 preferred upon .....
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..
REGISTERED NURSES Fusco Personnel is recruiting for temporary/contract Registered Nurses for NYS Offices located in the Albany area! There are positions in both clinical and non-clinical settings available. Qualifications: Valid nursing ..
REGISTERED NURSES (FT/PT) Fusco Personnel is recruiting for temporary/contract Registered Nurses with weekend availability for the NYS Department of Health - Bureau of Immunization. The position is in downtown Albany and ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Albany New York Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..
