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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 ..
... health services Determine the needs on the faxes, making appropriate and ... identifying, coordinating, and following through on quality concerns, sentinel events, complaints, ... Required Qualifications Degree in Nursing..
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 ..
... The registered professional nurse (CAP RN 1) position is an entry ... for Registered Nurses. The CAP RN 1 is accountable and responsible ... health care team, the CAP..
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 ..
... your passion at your level, on a flexible schedule, and with ... Joint Commission accredited Free Training On-Call bonus RN Oversight & Mentorship 401K Monthly ... will help ease..
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 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 ..
... passion at your own level, on a flexible schedule, and with ... will help ease the burden on the healthcare system and hospitals ... Joint Commission accredited Free Training..
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 ..
... 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..
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 ..
... 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..
... 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 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 ..
... 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..
... 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..
