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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 ..
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 ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
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 ..
Job ID 21000LSLAvailable Openings 1DescriptionLend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone, every day. Brighten prospects for patients and your career. Connect ..
Job ID 21000MUFAvailable Openings 1DescriptionLend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone, every day. Brighten prospects for patients and your career. Connect ..
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 ..
Job Information Humana Care Manager, Telephonic Nurse 2/RN - San Juan, Puerto Rico in San Juan Puerto Rico Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses ..
Job ID 21000MX1Available Openings 1DescriptionLend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone, every day. Brighten prospects for patients and your career. Connect ..
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 ..
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 Care Manager, Telephonic Nurse (Bilingual) ... authority of any jurisdiction. Active RN license without restrictions in Puerto ... in Puerto Rico and/or Active RN license in..
... Telephonic Nurse 2 (Fully Bilingual RN with Clinical exp.) - San ... authority of any jurisdiction *Active RN license without restrictions in Puerto ... in Puerto Rico and/or Active..
Job ID 21000NHXAvailable Openings 1DescriptionLend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone, every day. Brighten prospects for patients and your career. Connect ..
DescriptionLend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone every day. Brighten prospects for patients and your career. Connect with your goals and ..
... Telephonic Nurse 2 (Fully Bilingual RN with Clinical exp.) - WAH ... authority of any jurisdiction *Active RN license without restrictions in Puerto ... in Puerto Rico and/or Active..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care Manager, ..
