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... and communication of medical services and/or benefit administration determinations. The Manager, ... and most appropriate treatment, care or services for members. Coordinates and ... and communicates with providers, members,..
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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,..
... and policies, and approves services or forwards requests as needed. The ... license from list: Registered Nurse (RN) with Compact License 3 years ... years of practice experience 1..
... in care, eligibility for assistance and/or need for care management program ... need for care management program or other referral services in collaboration ... Social Determinants of Health needs..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... 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..
... as assigned by Supervisor, Manager and/or Director. 5% Utilizes established reporting ... description in no way states or implies that the key accountabilities ... required to follow other instructions..
... and communication of medical services and/or benefit administration determinations. The Utilization ... - Registered Nurse completes telephonic and/or faxed reviews with the Utilization ... 7am - 6:30 p.m. CST..
... and communication of medical services and/or benefit administration determinations. The Utilization ... and most appropriate treatment, care or services for members. This is ... and communicates with providers, members,..
... 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 Practitioner (NP) works in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team ..
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 ..
... reporting and documenting all new or unusual incidents, information, complaints, or problems to the supervisor. Promotes ... accordance with current treatment plan or as directed by the supervisor. .....
