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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 ..
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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 ..
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 ..
... 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,..
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..
... 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..
Sub - Acute , Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility!We are seeking a part-time (16 hours per week, Monday/Tuesday) provider for split position ..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
... - 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..
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..
About this job Find your commute At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to ..
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 ..
... 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..
... 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..
... 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..
... 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..
... structured training!No overnight, Sunday or On-call shiftsMajor Holiday, such as Thanksgiving ... a company that is built on the philosophy that our employees ... provision of quality patient care..
... 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..
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 ..
... 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..