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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 ..
Genesis is one of the leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care ..
**Careers that Change Lives** **A Day in the Life** Responsibilities may include the following and other duties may be assigned. Directs or performs coordination and preparation of document packages for regulatory ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
... changes that assure compliance with regulatory and contract obligations. Coordinates business ... and apply laws, regulations, and regulatory guidance for Pharmacy Benefits and ... issues, conduct research, and provide..
Job Information Kindred at Home Care Manager RN Home Health, Full Time in Beckley West Virginia As a Home Health RN Care Manager , you will: Perform or delegate the initial ..
10K Quick Start Bonus! Start full time by July 1st and get first payment on you first paycheck! Just in time for Summer Vacations! BenefitsHealth, Dental, Vision, Company-paid life insurance, 401K, ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Immigration Paralegal (Remote) Date: Dec 17, 2022 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a commitment to innovation that lies at ..
Job ID 21000HVGAvailable Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..
Job Information Kindred at Home RN Clinical Manager in Beckley West Virginia The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, ..
BenefitsHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off *Variable compensation plansDiverse, Equitable and Inclusive (DEI) workplace with DEI committee. DEI is a part of our company's DNA.Nursing Student Loan ..
PURPOSE AND SCOPE:Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with ..
PURPOSE AND SCOPE:Maintains files of medical records and performs other clerical duties as required. Ensures proper maintenance of patient charts/records. Works in compliance with guidelines for release of information. Files and ..
Job Information Humana Telephonic Care Manager in Charleston West Virginia Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for ..
Job Description Travel region is southern WV and Charleston WV office. This is a full-time telework role, however 25% travel will be required for face to face assessments in Southern WV. ..
PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Charleston West Virginia Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with ..
Description Humana's technology environment has pivoted from a centralized model over the last several years to a more federated model. This trend will continue and accelerate to the point where Humana's ..