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... Member Plan (EFMP). Auditing for quality and clinical compliance, and case ... and clinical compliance, and case management. Serve as a Humana Military ... Professional Counselor (LPC), Psychologist (PhD),..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... we succeed! The Manager, Utilization Management Nursing..
... leading the Centralized Outpatient Utilization Management operations team; Providing Clinical subject ... operational support tools, including Workforce Management planning and consultation with market ... and process opportunities; Developing Clinical..
... Hybrid I/II will provide case management services to patients and their ... Professional Model of Care requires registered professional nurses to be responsible ... National supports the development of..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for ... without direction. Responsibilities Senior Pre-Authorization Nurse: Serves as a team lead ... Reviews inventory reports and assists management with..
Advanced Practice Registered Nurses / Physician Assistants (268) ... Save Agent Loading... Please wait. RN BAYLOR - ICU ( FULL ... NEW! Supervisor - Neurosciences Clinical RN EvergreenHealth Kirkland, Washington..
... of the nation's largest healthcare management companies. The GW School of ... is to provide the highest quality healthcare, advanced medical technology, and ... ago: Build or acquire high..
... Under the supervision of the Nurse Manager and following clinical guidance ... the treatment team, the Clinical Nurse, RN assists in the care coordination ... in the care coordination..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... Columbia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management..
... Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Washington District Of ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care..
... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... of the Humana Military Care Management team; providing a comprehensive approach ... approach for post discharge care..
Description The RN Case Management Process Advisor also known as ... also known as a Case Management Liaison (CML) will oversee the ... (MTFs) and civilian providers. The RN Case..
Registered Nurse II (PRN) - Emergency Medicine ... The UMC campus has a Nurse Manager; the SZ campus has ... the SZ campus has two Nurse Managers who are responsible..
... identification of discharge goals, case management planning, and implementation of interventions, ... experience. Nursing experience in case management, ambulatory nursing, or community/home care ... function independently with superior time..
... required till August 2022) The RN Case Manager is responsible for ... and the principles of case management to coordinate and implement a ... care across the continuum. The..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Washington District Of ... Columbia Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
Description The Senior Nursing Quality Outcomes Coordinator will partner with Hospital Quality, Safety, Regulatory and Hospital Risk ... Nursing to oversee or lead quality improvement projects through strong project .....
PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer support ... ongoing customer support and case management for Fresenius Medical Care (FMCNA) ... RESPONSIBILITIES: Under the guidance of registered nurse,..