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... functions and services to support 24/7 clinical operations delivery, Preauthorization List ... Medicaid; Implementing and hiring a 24/7 clinical support team for ability ... access to Care Management support..
... wellness industry. A passionate emphasis on people, choice, well-being, and innovation ... in Utilization Management, ideally focused on the Medicare and/or Medicaid populations. ... other supplemental insurances Paid time..
... state timeframes for turnaround times on authorization requests, clinical claims reviews ... Oversight and participation of the on-call rotation program to provide after ... program to provide after hours,..
... Required Qualifications Licensed Registered Nurse (RN) in a compact state with ... contributing to an organization focused on continuously improving consumer experiences A ... be willing to work rotational..
... Required Qualifications Licensed Registered Nurse (RN) in the state of Kentucky ... PM Eastern Time with rotating on-call coverage and oversight during weekends ... anticipate visiting onsite facilities depending..
Job DescriptionnRegistered Nurse(RN) / TravelnRegistered NursenType: Registered Nurse ... / TravelnRegistered NursenType: Registered Nurse (RN)nDover, NHnMAS Medical Staffing is currently ... currently seeking a(n) Registered Nurse (RN) professional with Registered..
Specialty: RNRHLTJob Description Registered nurses (RNs) monitor patients, develop patient care plans, implement treatments and provide guidance. RNs who provide in-home care or who work in a care facility can supervise ..
Position: RN Case ManagementLocation:Shift:Job Details: Responsible for coordinating medical care, and matching patient needs and preference with judicious use of healthcare resources Educates physicians regarding InterQual criteria, documentation of patient acuity ..
... Advice Line Telephonic Nurse - RN Compact License States Only in ... of action. Responsibilities Location: Remote, RN candidate must have a valid ... Advice Line is an inbound..
Description Remote Telephonic RN Opportunity The Compliance Nurse reviews ... technical experience Licensed Registered Nurse (RN) in a compact state with ... contributing to an organization focused on continuously improving..
Description Full-Time Remote, Telephonic RN opportunity. Humana Care Support is ... case management services are centered on the person rather than the ... timely intervention All of our RN Care..
... Care Manager, Telephonic Registered Nurse, (RN) 2 in Dover Delaware Description ... with an anticipated start date on 11 April 2022. Our Department ... Required Qualifications Licensed Registered Nurse..
... through unforeseen hardshipsRestrictions apply based on collective bargaining agreements, applicable state ... care operations.Promote an environment focused on top of license practice and ... care and compassion. We focus..
... internal stakeholders for review depending on case findings. Educates providers on utilization and medical management processes. ... state of Ohio. An active RN or LPN license in the .....
... practices and procedures that focus on enhanced safety, increased productivity and ... to related areas. Makes decisions on moderately complex to complex issues ... Required Qualifications Active Registered Nurse,..
... Advice Line is an inbound call center that provides Humana members ... utilize multiple computer systems Previous call center type experience Prior medical ... able to handle member calls..
rnSummary:rnRef #: 27277rnProfession: Registered NursernSpecialty: Medical Office / Primary Care - Pediatrics / Primary Care / OutpatientrnJob Type: Contract/TravelrnStart Date: ASAPrnLocation: Dover, NHrnShift Schedule: 8 hrs per day; 8:30 AM - ..
... - Care Manager, Registered Nurse, RN performs varied activities moderately complex ... - Care Manager, Registered Nurse, RN, will utilize Humana's Florida Medicaid ... Unrestricted Current Licensed Registered Nurse..
... Information Humana Manager, Utilization Management RN - Remote in Dover Delaware ... and experience - Utilization Management RN Manager - who is interested ... wellness industry. A passionate emphasis..
... and experience - Utilization Management RN - who is interested in ... wellness industry. A passionate emphasis on people, choice, well-being, and innovation ... day of work. Utilization Management..
Description The Weekend Telephonic 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 ..
... Line Telephonic Nurse - Remote- RN Compact License States Only in ... of action. Responsibilities Location: WAH, RN candidate must have a valid ... Advice Line is an inbound..
Job Information Humana Utilization Management Registered Nurse, RN 2 in Dover Delaware Description The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical knowledge ..
