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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 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 DescriptionnLicensed Practical Nurse(LPN) / Travel / TelemetrynLicensed Practical Nurse TelemetrynType: Licensed Practical Nurse (LPN) nLima, OHnMAS Medical Staffing is currently seeking a(n) Licensed Practical Nurse (LPN) professional with Licensed Practical ..

Job Information Humana Care Manager, Registered Nurse, RN - Maternity, L&D, Mother Baby in Lima Ohio Description The Field Care Manager assesses and evaluates member's needs and requirements to achieve and/or ..

... Humana Care Manager, Registered Nurse, RN in Lima Ohio Description Humana ... specific to each member based on clinical judgement, changes in members' ... Required Qualifications Licensed Registered Nurse..

Description Humana Healthy Horizons is seekign a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The ..

Job Information Humana Care Manager, Licensed Behavioral Health Professional or Registered Nurse in Lima Ohio Description The Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses and evaluates member's ..

... 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 .....