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... in Family Medicine, Internal Medicine or Geriatric Medicine with continued certification ... Management, (VBC) Value Based Care and/or healthcare operations setting, preferably in ... understanding regardless of communication channel..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in Lancaster South Carolina Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
... 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..
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... and policies, and approves services or forward requests to the appropriate ... assigned Required Qualifications 3 years or more of varied nursing experience ... Registered Nurse - active compact..
... 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 .....
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..
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..
... 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,..
... analyzes data daily, weekly, monthly or as needed to assess outcome ... Required Qualifications Active Registered Nurse, RN, license in South Carolina without ... management, case management, discharge planning..
... and communication of medical services and/or benefit administration determinations. The Utilization ... and most appropriate treatment, care or services for our Medicare members. ... and communicates with providers, members,..
... - 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..
... - 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..
... 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,..
... and communication of medical services and/or benefit administration determinations for Humana's ... and most appropriate treatment, care or services for members. Manages clinical ... and communicates with providers, members,..
... 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,..
... 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..
Job Information Humana Baylor RN, Home Health in Monroe North ... where the analysis of situations or data requires an in-depth evaluation ... Assessment Advisor works with physician and/or referral..
... and policies, and approves services or forward requests to the appropriate ... and daily operations. Performs escalated or more complex work of a ... Qualifications Active Registered Nurse License..
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..