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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 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 ..
... 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..
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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. Responsibilities The hours are Monday to Friday ..
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..
... 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..
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 Care Manager, Telephonic Behavioral Health 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 ..
... 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..
... to members managing Diabetes. The RN CDCES will provide information, resources ... team. In this role, the RN CDCES: Advocates for and communicates ... process and adapts practice/process based..
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..
... 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..
... Information Humana Manager, Utilization Management RN - Remote in Riverton Wyoming ... and experience - Utilization Management RN Manager - who is interested ... wellness industry. A passionate emphasis..
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 ..
... hours for this role are 7:00 a.m. to 5 p.m. CST ... hours for this role are 7:00 a.m. to 5 p.m. CST ... by leader. Role Essentials Active..
... Personal Nurse Program to provide one-on-one guidance to members who suffer ... Provide guidance and clinical expertise on how to navigate through the ... possible. Consult with your patients..
... state timeframes for turnaround times on authorization requests, clinical claims reviews ... Oversight and participation of the on-call rotation program to provide after ... program to provide after hours,..
... wellness industry. A passionate emphasis on people, choice, well-being, and innovation ... in Utilization Management, ideally focused on the Medicare and/or Medicaid populations. ... management experience Licensed Registered Nurse..
