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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 ..
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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..
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 ..
... inpatient care Licensed Registered Nurse (RN) in the (appropriate state) with ... obtain other state licensures based on business needs 3-5 years of ... Previous Medicare/Medicaid Experience a plus..
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 ..
... Provide guidance and clinical expertise on how to navigate through the ... possible. Consult with your patients on how to ask the right ... to 5% Required Qualifications Active..
... water quality testing, document results on the appropriate logsInitiate the (SDS) ... activities and quality control testing on the appropriate logsPerform total chlorine ... the charge nurse, document results..
... 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..
... Provide guidance and clinical expertise on how to navigate through the ... possible. Consult with your patients on how to ask the right ... by Humana. Required Qualifications Active..
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 ..
... a company that is built on the philosophy that our employees ... dialysis candidate/Home Partner as appropriate on the safe and effective operation ... if indicated and maintains records..
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..
... Provide guidance and clinical expertise on how to navigate through the ... setting. Consult with your patients on how to ask the right ... the Life of our remote..
... 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..
... 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..
... identifying, coordinating, and following through on quality concerns, sentinel events, complaints, ... license from list: Registered Nurse (RN) with Compact License and general ... contributing to an organization focused..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral ..
... - 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 San Juan ... and experience - Utilization Management RN Manager - who is interested ... wellness industry. A passionate emphasis..
... 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..
