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82001 NURSE PRACT-GASTROENTEROLOGY','Full-time','Advanced Practice Clinician','8a','8a','80','80','None','None','KENTUCKY-LOUISVILLE-JH MED CTR EAST 3920 DUTCHMANS LN','','!*!ARNP will practice in collaboration with the physicians and healthcare professionals to diagnose, treat and manage patient health problems according to ..
Description The Senior Clinical Strategy and Practice Professional begins to influence department's strategy as well as operational implementation with regard to Behavioral Health program. With no direct reports, this position will ..
Description The 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 for Humana's Kentucky Medicaid ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization ..
Job Information Humana Quality Improvement Manager - Remote KY in Louisville Kentucky Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky Medicaid line of business. This includes quality ..
Description The Senior Quality Improvement Professional will focus organizational efforts on improving Kentucky Medicaid clinical quality performance measures to achieve optimal performance and quality for the Humana Healthy Horizons in Kentucky ..
Description The Senior Quality Compliance Nurse (RN) utilizes quality improvement methodology and works collaboratively with departmental and interdisciplinary teams to monitor quality, outcomes, and compliance processes. This role works with physicians/physician ..
Description The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates transplant members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Louisville Kentucky Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
Job Information Humana Pre-Authorization Nurse 1 - Remote KY in Louisville Kentucky Description The Pre-Authorization Nurse 1 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and ..
Job Information Humana Nurse Auditor 2-Remote in KY/IN in Louisville Kentucky Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation, and billing for services rendered, is complete, compliant and accurate to support optimal reimbursement. The Nurse ..
Job Information Humana RN, Prior-Authorization - Medicaid - Remote Kentucky in Louisville Kentucky Description The Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and ..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
Job Information Humana RN Telephonic Transplant Care Manager-WAH in Louisville Kentucky Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to ..
Job Information Humana Quality Compliance Behavioral Health Professional 2 - Remote KY, IN or OH in Louisville Kentucky Description The Quality Compliance Professional - Behavioral Health uses quality improvement methodology to ..
Job Information Humana Quality Compliance Nurse Professional 2 - Louisville, KY in Louisville Kentucky Description The Quality Compliance Nurse Professional 2 uses quality improvement methodology to analyze data and works collaboratively ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Job Information Humana Senior Process Improvement Professional - Remote OH, IN, KY in Louisville Kentucky Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and ..