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Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... are Monday-Friday, 8am-5pm EST. The Utilization Management Nurse 2..
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 CarePlus is seeking a Nursing Educator 2 who will plan, direct, coordinate, evaluate, develop, and/or deliver training and education programs for professional nursing personnel. The Nursing Educator 2 work assignments ..
... Advice Line Telephonic Nurse - RN Compact License States Only in ... of action. Responsibilities Location: Remote, RN candidate must have a valid ... in the future Required Qualifications..
... Line Telephonic Nurse - Remote- RN Compact License States Only in ... of action. Responsibilities Location: WAH, RN candidate must have a valid ... in the future Required Qualifications..
... refers to internal stakeholders for review depending on case findings Educates ... case findings Educates providers on utilization and medical management processes. Enters ... active compact or single state..
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 Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
Description The Utilization Management Behavioral Health Nurse 2 ... and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 ... courses of action. Responsibilities The Utilization Management Behavioral Health..
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 ..
Description The Senior Utilization Management Behavioral Health Professional utilizes ... benefit administration determinations. The Senior Utilization Management Behavioral Health Professional work ... variable factors. Responsibilities The Senior Utilization Management Behavioral..
Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... the Soul. Join Us! The Utilization Management Nurse 2..
... (Off Wed, Thu, Fri). The Utilization Management RN utilizes clinical nursing skills to ... and/or benefit administration determinations. The Utilization Management RN work assignments are varied and ... the..
Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. ..
... reviews, provider education on the utilization and medical management processes, entering/maintaining ... Required Qualifications 2 years of Utilization Management (UM), Pre-Auth, or other ... Pre-Auth, or other managed care..
... case throughout stay to ensure utilization of services are in accordance ... from patient Pre-Admission through Concurrent Review using standard and plan review forms to justify clinical necessity .....
... refers to internal stakeholders for review depending on case findings. Educates ... case findings. Educates providers on utilization and medical management processes. Enters ... Qualifications Active Registered Nurse License..
