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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 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 ..
Job Information Humana Care Manager, Telephonic Nurse 2/RN - San Juan, Puerto Rico in San Juan Puerto Rico Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses ..
... Information Humana Manager, Utilization Management RN - Remote in San Juan ... and experience - Utilization Management RN Manager - who is interested ... wellness industry. A passionate emphasis..
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 ..
... 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..
... Provide guidance and clinical expertise on how to navigate through the ... possible. Consult with your patients on how to ask the right ... to 5% Required Qualifications Active..
... 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..
... 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..
... - 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..
... functions and services to support 24/7 clinical operations delivery, Preauthorization List ... Medicaid; Implementing and hiring a 24/7 clinical support team for ability ... access to Care Management support..
Job Information Humana RN Care Manager, Telephonic Nurse (Bilingual) ... authority of any jurisdiction. Active RN license without restrictions in Puerto ... in Puerto Rico and/or Active RN license in..
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 ..
... Telephonic Nurse 2 (Fully Bilingual RN with Clinical exp.) - San ... authority of any jurisdiction *Active RN license without restrictions in Puerto ... in Puerto Rico and/or Active..
... 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..
... Telephonic Nurse 2 (Fully Bilingual RN with Clinical exp.) - WAH ... authority of any jurisdiction *Active RN license without restrictions in Puerto ... in Puerto Rico and/or Active..
... 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..
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 ..
... Provide guidance and clinical expertise on how to navigate through the ... setting. Consult with your patients on how to ask the right ... the Life of our remote..
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 ..
