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Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., ..
... 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..
... physician orders and state nurse practice laws. Perform and document pre, ... information and knowledge in current practice related to dialysis principals and ... course in the theory and..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
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, ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
... a primary care medical group practice with centers open or opening ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach ... a tone of cooperation in..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
... license from list: Registered Nurse (RN) with Compact License and general ... York License 3 years of practice experience 1 or more year ... post-degree clinical experience in private..
... license from list: Registered Nurse (RN) with Compact License 3 years ... Compact License 3 years of practice experience 1 or more year ... post-degree clinical experience in private..
... team consists of doctors, advanced practice professionals, Pharm D, Care Coach ... a tone of cooperation in practice by displaying a professional and ... Assistant license in state of..
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 ..
