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Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... and communication of medical services and/or benefit administration determinations. The Utilization ... administration determinations. The Utilization Management Nurse 2..
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... Information Humana Care Manager, Telephonic Nurse - Remote (Work from Home) ... Description The Care Manager, Telephonic Nurse, in a telephonic environment, assesses ... needs and requirements to achieve..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... needs and requirements to achieve and/or maintain optimal wellness state by ... members. The Care Manager, Telephonic Nurse..
... needs and requirements to achieve and/or maintain optimal wellness state by ... years of management experience Active Registered Nurse (RN) license with ability to ... data trends. Progressive business..
... needs and requirements to achieve and/or maintain optimal wellness state by ... and could lead multiple managers or highly specialized professional associates. The ... experience in various settings Active..
... plans, directs, coordinates, evaluates, develops, and/or delivers training and education programs ... where the analysis of situations or data requires an in-depth evaluation ... to, Care Management, Utilization Management,..
... for this role is a registered nurse with prior auditing experience, proven ... Qualifications Bachelor's Degree in health or business related field or equivalent years of experience in .....
... needs and requirements to achieve and/or maintain optimal wellness state by ... years of management experience Active Registered Nurse (RN) license in Puerto Rico ... data trends. Progressive business..
... needs and requirements to achieve and/or maintain optimal wellness state by ... Required Qualifications Associate's Degree 5 or more years of professional experience ... years of professional experience 2..
... and communication of medical services and/or benefit administration determinations. The Utilization ... Behavioral Health Professional 2 - Registered Nurse completes telephonic and/or faxed reviews with the Utilization ... Compact..
... where the analysis of situations or data requires an in-depth evaluation ... to assignments. Required Qualifications BSN or Associate Degree in Nursing Nursing ... of experience working as a..
... needs and requirements to achieve and/or maintain optimal wellness state by ... allow each member to achieve and/or maintain their optimal health. Apply ... on identified needs and recommend..
... needs and requirements to achieve and/or maintain optimal wellness state by ... their homes, Assisted Living Facilities, and/or Long Term Care Facilities and ... setting in order to achieve..
... and communication of medical services and/or benefit administration determinations. The Manager, ... and most appropriate treatment, care or services for members. Coordinates and ... and communicates with providers, members,..
Description The Care Manager, Telephonic Nurse, in a telephonic environment, assesses ... needs and requirements to achieve and/or maintain optimal wellness state by ... members. The Care Manager, Telephonic Nurse..
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 ..
