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... objectives and approaches to assignments. Required Qualifications Bachelors degree or equivalent ... Bachelors degree or equivalent work experience Active nursing license or similar ... license or similar medical certification..
Description The Utilization Management Nurse utilizes clinical nursing skills to ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied ... EST The Front End Review..
... Professional provides support to assigned health plan and/or specialty companies relative ... factors. Responsibilities Location: work at home anywhere The Clinical Senior Market ... on regulations for all assigned..
... as a Patient Centered Medical Home and provide health care in a setting where ... and community capacity by increasing health knowledge, literacy and self sufficiency ... serve as..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for ... claims to determine whether all required documentation exists and is adequate ... may be called upon and required..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied ... shift to a work at..
Description The Utilization Management Nurse utilizes clinical nursing skills to ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied ... the Soul. Join Us! The..
Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization ... as needed. The Pre-Authorization Behavioral Health Professional 2 work assignments are ... action. Responsibilities Location: work at home,..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied ... Saturday, Sunday, Monday, Tuesday The..
... for the development, coordination and management of the patient's treatment plans ... those services. 2. With the Nurse Manager, efficiently manage the care ... shall evaluate patients referred for..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied ... courses of action. Responsibilities The..
... The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, ... The Care Manager, Telephonic Behavioral Health 2 work assignments are varied ... a Care Manager, Telephonic Behavioral..
... substantial. Responsibilities Location: work at home anywhere Humana's Enterprise Clinical Management (ECM) team needs your business, ... identify clinical opportunities to improve health outcomes and improve the value .....
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied ... the Soul. Join Us! The..
... a team environment on Humana's health plan accreditations, performing complex tasks ... Humana. Responsibilities Location: Work at Home Anywhere The Senior Accreditation Professional ... a team environment on Humana's..
