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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 ..
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... Behavioral Health Professional 2 - Registered Nurse completes telephonic reviews with the ... licensed in a Compact State Registered Nurse (RN) Minimum of five (5) years .....
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 Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... allows Responsibilities The Utilization Management Nurse 2..
Description The Stars Improvement, Clinical Professional 2 responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Stars Improvement, Clinical Professional 2 work assignments are varied ..
... Behavioral Health Professional 2 - Registered Nurse completes telephonic and/or faxed reviews ... Compact State Licensed as a Registered Nurse (RN) Minimum of 3 year of .....
... the team with a Senior Nurse Auditor roles! This is a ... should strongly consider the Senior Nurse Auditor opportunity with Humana. Performs ... success! - Required Qualifications Licensed..
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 ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... Monday, Tuesday The Utilization Management Nurse 2..
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 Nurse Auditor 2 performs clinical audit/validation ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are ... overpayments when they happen. The Nurse Auditor 2 validates..
... Behavioral Health Professional 2 - Registered Nurse completes telephonic and/or faxed reviews ... in Nursing Licensed as a Registered Nurse (RN) with a Compact State license .....
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..
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 ..
... The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic ... The Transplant Care Manager, Telephonic Nurse 2 work assignments are varied ... The Transplant Care Manager, Telephonic..
