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... and communication of medical services and/or benefit administration determinations. The Utilization ... and most appropriate treatment, care or services for members. Coordinates and ... and communicates with providers, members,..
... communication of behavioral health services and/or benefit administration determinations. The Utilization ... communication of behavioral health services and/or benefit administration determinations. The Utilization ... patient care Three (3) years..
... and communication of medical services and/or benefit administration determinations. The Utilization ... any given day, week, weekend, or holiday. The Utilization Management Nurse ... and most appropriate treatment, care..
Description Full-Time Remote, Telephonic RN opportunity. Humana Care Support is ... Telephonically assess Medicare, Medicaid, Commercial, and/or and Group Account members in ... needs and requirements to achieve and/or maintain..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional ... in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional ... where the analysis of situations or data requires..
... provide a high speed DSL or cable modem for a home ... for a home office. Associates or contractors who live and work ... Qualifications Associate's degree in business..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral ... direct patient care (either medical or behavioral health) Adept experience working ... to provide a high-speed DSL or cable..
... - Care Manager, Registered Nurse, RN performs varied activities moderately complex ... - Care Manager, Registered Nurse, RN, will utilize Humana's Florida Medicaid ... and determine necessities to achieve..
Description Remote Telephonic RN Opportunity The Compliance Nurse reviews ... analyzes data daily, weekly, monthly or as needed to assess outcome ... technical experience Licensed Registered Nurse (RN) in a..
... needs and requirements to achieve and/or maintain optimal wellness state by ... challenged by serious mental illness and/or substance use. Our goal is ... allow each member to achieve..
... needs and requirements to achieve and/or maintain optimal wellness state by ... monitoring patient care through assessments and/or evaluations. May create member care ... multidisciplinary team. All of our..
... - Care Manager, Registered Nurse, RN performs varied activities moderately complex ... - Care Manager, Registered Nurse, RN, will utilize Humana's training and ... and determine necessities to achieve..
... Advice Line Telephonic Nurse - RN Compact License States Only in ... needs and requirements to achieve and/or maintain optimal wellness state by ... of action. Responsibilities Location: Remote,..
... and policies, and approves services or forward requests to the appropriate ... of Utilization Management (UM), Pre-Auth, or other managed care review experience ... review experience Licensed Registered Nurse..
... Required Qualifications Active Registered Nurse (RN) license CPT coding experience or certification MS Office proficiency 18 ... 18 months of medical record or coding auditing experience Demonstrated ability .....
... Qualifications Associate's Degree in Nursing or higher Current US Registered Nurse ... higher Current US Registered Nurse (RN) license, in the state of ... interpreting medical records for coding..
... Line Telephonic Nurse - Remote- RN Compact License States Only in ... needs and requirements to achieve and/or maintain optimal wellness state by ... of action. Responsibilities Location: WAH,..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in Billings Montana Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
... needs and requirements to achieve and/or maintain optimal wellness state by ... monitoring patient care through assessments and/or evaluations. May create member care ... by Humana. Required Qualifications Active..
... monitoring patient care through assessments and/or evaluations. Responsibilities The first 4 ... team. All of our SNP RN Care Managers are work at ... Duties: Telephonically assess Medicare, Medicaid,..
