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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
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Job Information Humana Medicaid Associate Director, Compliance Nursing in Montpelier Vermont Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
Specialty: RN-Labor and Delivery -Travel Job Description RN's needed for L&D, Post Partum rooms, BFHI, babies room in with moms, average 40 deliveries per month, average 6 C-sections per month. May ..
Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..
Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Genesis is a leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. Why Genesis? We improve the lives we ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
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 ..
Job Information Humana Telephonic Care Manager in Montpelier Vermont Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for Behavioral ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Montpelier Vermont Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the ..
Genesis HealthCare is one of the leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..
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 ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Montpelier Vermont Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
Job DescriptionnRegistered Nurse(RN) / Travel / Medical-SurgicalnRegistered Nurse Medical-SurgicalnType: Registered Nurse (RN) nBerlin, VTnMAS Medical Staffing is currently seeking a(n) Registered Nurse (RN) professional with Registered Nurse (Medical-Surgical) experience for a ..
Description Be a part of the CenterWell leadership team, a subsidiary whose purpose is to provide care management program support resources to physicians, physician groups, and integrated healthcare delivery systems throughout ..
Job Description:Our client located in the state of Vermont is looking for a permanent RN Director overseeing Emergency Services. Department sees 14K visits/annually. BSN and TNCC required with previous RN management ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Montpelier Vermont Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..
Job Information Humana Senior Clinical Recruiter in Montpelier Vermont Description The Senior Clinical Recruiter recruits qualified applicants for staff nurse or other positions requiring registered nurse licensure, licensed practical nurse, or ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional ... in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional ... of variable factors. Responsibilities The RN, Senior Stars..
... as a Unit Manager/Director - RN where your clinical excellence and ... and licensing requirements. *Collaborate with staff, physicians, rehabilitation therapy and other ... agency personnel, recruiting and orientating..
... and provide training for IPU staff as needed with new implementations, ... a timely manner. Responding to staff requests for assistance with orders, ... needed. Assist with new hire..