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Description The Utilization Management Nurse utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... 8am-5pm EST The Front End Review nurse uses clinical..
Description The Utilization Management Behavioral Health Professional 2 ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 ... in a Compact State The Utilization Management Behavioral Health..
Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... courses of action. Responsibilities The Utilization Management Nurse 2..
Description The Manager, Utilization Management Nursing utilizes clinical nursing ... benefit administration determinations. The Manager, Utilization Management Nursing works within specific ... succeed, we succeed! The Manager, Utilization Management Nursing..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Description The Utilization Management Behavioral Health Professional 2 ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 ... courses of action. Responsibilities The Utilization Management Behavioral Health..
Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... Saturday, Sunday, Monday, Tuesday The Utilization Management Nurse 2..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... the appropriate courses of action.The Utilization Management Nurse 2..
... Required Qualifications Degree in Nursing RN license Compact state RN license Minimum of three (3) ... clinical experience Behavioral Health experience Utilization management experience Must have accessibility ... Desired..
Nursing House Supervisor - PRN Department: House Supervisors Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Responsible for the overall operations, and implementation and evaluation of activities for ..
Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
... refers to internal stakeholders for review depending on case findings. Educates ... case findings. Educates providers on utilization and medical management processes. Enters ... established guidelines/procedures. Required Qualifications Active..
Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... as technology allows Responsibilities The Utilization Management Nurse 2..
Description The Compliance Nurse 2 reviews medical management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
... Associate Director, Compliance Nursing reviews utilization management activities and documentation to ... Medicaid markets and centralized clinical Utilization Management team, to assure efficient ... support staffing model revisions; Implement..
RN Utilization Review - PRN 0.3 Department: Case ... Job Summary and Scope The Utilization Review Nurse performs utilization review of all patients presenting for ... conducts admission reviews, continued..
Nursing House Supervisor - PT 0.5 Department: House Supervisors Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Responsible for the overall operations, and implementation and evaluation of activities ..
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 ..
