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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..
... policy in order to complement utilization, cost and quality strategies. Meets ... resource for multiple departments, especially utilization management and care management groups. Leverages clinical experience and deep knowledge..
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..
... 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 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 ... 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..
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 ... shift to a work at..
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..
... regulatory compliance Ensures the clinical management of the rehab department, including ... including oversight related to case management, quality improvement, care planning, clinical ... quality improvement, care planning, clinical..
... 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..
