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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 ..
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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 ..
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The ..
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 Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
RN - On-Call Night Visit Nurse - Hospice ... WI (corporate headquarters) (53224) This on-call, 8:00pm - 8:00am opportunity allows ... make a difference while providing one-on-one patient centered care..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
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 ..
u003cpu003eu003cstrongu003eRole Summary:u0026nbsp; u003c/strongu003eu003c/pu003enu003cpu003eThe Clinical Supervisor (RN) will oversee a team of ... provide coaching to team members on production of work, quality of ... and different wayu003c/liu003enu003cliu003eAre technically strong on..
... providers. Required Qualifications Current US RN License with Coding experience 3 ... to support the CDC recommendations on social distancing and reduce health ... Talent Acquisition representative will advise..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... Care has a strong emphasis on senior-focused primary care for members ... careers. Our culture is focused on teamwork and providing a positive ... value based care provider focused..
RN Case Manager - Home Care ... to see your patients go on to live healthy, independent and ... it’s getting their patient back on their feet after a recent..
... 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..
... Health, DME 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..
... identifying, coordinating, and following through on quality concerns, sentinel events, complaints, ... license from list: Registered Nurse (RN) with Compact License 3 years ... contributing to an organization focused..
... services are medically necessary based on Medicare guidelines.u003c/liu003enu003cliu003eProvide written explanations for ... prior authorization requests.u003c/liu003enu003cliu003eEducate the provider on documentation requirements for planned services.u003c/liu003enu003cliu003ePerform ... wayu003c/liu003enu003cliu003eDesire day hours with no..
