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... 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 ... Bachelor's..
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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..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... courses of action. Responsibilities The Utilization Management..
Job Information Humana RN, Prior-Authorization - Medicaid - Remote ... Cincinnati Ohio Description The Pre-Authorization Nurse reviews prior authorization requests for ... Kentucky Medicaid Plan. The Pre-Authorization Nurse work assignments..
... 2 - Remote OH, IN, KY in Cincinnati Ohio Description The ... not be limited to Care Management, UM, and/or compliance. Understands dept, ... procedures Required Qualifications Unrestricted Registered..
