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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,..
Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization ..
... 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..
... group practice with centers open or opening in Florida, Georgia, Kansas, ... needs and requirements to achieve and/or maintain optimal wellness state by ... established guidelines/procedures. Required Qualifications Active..
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 ..
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... 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..
Job Information Humana Nurse Practitioner Float - CenterWell - Las Vegas, NV in Las Vegas Nevada Description The Nurse Practitioner (NP) works in our team-based care environment. We are a value ..
... you answered YES to one or more of the above you ... Degree Must hold an active RN license Must hold at least ... active coding credential (CPC, CCS,..
... 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,..
... Facility (MTF) UM/CM/DM staff, physicians or providers to ensure there is ... in care, eligibility for assistance and/or need for care management program ... need for care management program..
... you answered YES to one or more of the above you ... Required Qualifications Licensed Registered Nurse, RN, in the state of residence ... current coding certifications with AAPC..
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 ..
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, ..
... assignment Variety of settings Acute or Chronic care positions Top salaries ... Care Healthcare Recruitment registered nurse (RN) is responsible for the delivery ... planning, implementation, and evaluation. The..
... 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..
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 ..
... 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..
... needs and requirements to achieve and/or maintain optimal wellness state by ... courses of action. Responsibilities The RN Care Manager, Telephonic Nurse 2 ... every 6 months; complete PSI..
