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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..
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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..
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..
... 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..
... and action thresholds. Oversees facility’s Home Therapies Program if applicable. Accountable ... integrity, including safety. Experienced leadership required for multi-faceted environment; role primarily ... care as per the disease..
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 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 Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments..
... 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 ... Saturday, Sunday, Monday, Tuesday The..
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..
