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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 ..
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... 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 ..
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 ..
... 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 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 ..
... internal stakeholders for review depending on case findings. Educates providers on utilization and medical management processes. ... 6:00 PM EST with rotating on-call coverage and oversight during weekends .....
Description The Quality Compliance Nurse (RN) Professional uses quality improvement methodology ... Responsibilities The Quality Compliance Nurse (RN) Professional leads quality improvement projects ... guidelines/procedures The Quality Compliance Nurse (RN)..
... 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..
... Anticipated Start Date: 6/15/20 Expected call time: varies Hours/Shifts:MWF Machine type: ... Care Healthcare Recruitment registered nurse (RN) is responsible for the delivery ... planning, implementation, and evaluation. The..
Description Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of a ..
... Bachelor's degree Licensed Registered Nurse (RN) in the state of Kentucky ... contributing to an organization focused on continuously improving consumer experiences Additional ... within a 20 mile radius..
... 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..
A helping hand and a gentle heart! Everyone should be comfortable in their home and Granny Nannies wants to make that possible! If it's an ongoing weekly schedule or PRN shifts, ..
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 ..
... 6:00 PM EST with rotating on-call coverage and oversight during weekends ... Qualifications Unrestricted Licensed Registered Nurse (RN) in the state of Kentucky ... 6:00 PM EST with rotating..
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 ..
