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Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... schedules and goals. Responsibilities The Manager, Utilization Management Nursing..
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... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal care and treatment. Decisions are typically ... hours, 24/7 clinical coverage requirements...
... but not be limited to, Care Management, Utilization Management, and/or Compliance. ... Management, Utilization Management, and/or Compliance. RN licensure is required at all levels. Begins to ... objectives and..
... Assess discharge plans Coordinated with Care Coordination and Case Management Discuss ... can change at any time Required Qualifications Associates Degree in Nursing ... Must be licensed in a..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex ... needs. Responsibilities The Intern - Care Manager, Registered Nurse, RN, will utilize Humana's training and..
Description Responsibilities The Care Manager, Telephonic Nurse 2 employs a ... resolves barriers that hinder effective care. Ensures patient is progressing towards ... outcomes by continuously monitoring patient care through..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex ... team. Responsibilities The Intern - Care Manager, Registered Nurse, RN, will utilize Humana's Florida Medicaid..
Description Full-Time Remote, Telephonic RN opportunity. Humana Care Support is a division of ... homes. Our nurses are titled Care Managers, because our case management ... rather than the condition...