Rn Or Circulator Jobs in San Juan

... 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,..

... needs and requirements to achieve and/or maintain optimal wellness state by ... monitoring patient care through assessments and/or evaluations. May create member care ... achieving health and independence. Each..

... needs and requirements to achieve and/or maintain optimal wellness state by ... monitoring patient care through assessments and/or evaluations. May create member care ... needs and requirements to achieve..

... 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,..

... 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..

... 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,..

... needs and requirements to achieve and/or maintain optimal wellness state by ... allow each member to achieve and/or maintain their optimal health. Apply ... on identified needs and recommend..

... plans, directs, coordinates, evaluates, develops, and/or delivers training and education programs ... where the analysis of situations or data requires an in-depth evaluation ... to, Care Management, Utilization Management,..

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 ..

... Qualifications Bachelor's Degree in health or business related field or equivalent years of experience in ... a degree Active Registered Nurse (RN) license 3 years of healthcare ... experience..

... 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,..

... needs and requirements to achieve and/or maintain optimal wellness state by ... of professional experience as an RN 2 years of management experience ... management experience Active Registered Nurse..

... needs and requirements to achieve and/or maintain optimal wellness state by ... of professional experience as an RN 2 years of management experience ... management experience Active Registered Nurse..

... 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,..

... needs and requirements to achieve and/or maintain optimal wellness state by ... of professional experience as an RN 2 years of management experience ... management experience Active Registered Nurse..

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 ..

... 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..

... analyzes data daily, weekly, monthly or as needed to assess outcome ... and could lead multiple managers or highly specialized professional associates. The ... Qualifications *Bachelor's Degree in health..

... 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 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 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 ..

... in both languages without limitations or assistance. If selected for the ... on testing Active and Valid RN license in PR 2 years ... provide a high speed DSL..

... 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,..