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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..
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Description The Utilization Management Nurse utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... the Soul. Join Us! The Utilization Management Nurse 2..
Description The Utilization Management Nurse utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse work assignments are ... the Soul. Join Us! The Utilization Management Nurse 2..
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 ..
... 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..
Description The Utilization Management Nurse 2 utilizes clinical ... Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments ... courses of action. Responsibilities 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 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..
... 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..
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..
HSC Home Care Registered Nurse','2200029R','The Registered Nurse assumes responsibility and accountability for the management of nursing and home health aide functions and the utilization of ancillary agency staff. Supervises and assists, ..
... National supports the development of RN relationships within the community; specifically ... least one year experience in Utilization Management with knowledge of utilization review criteria. Experience in one or..
... 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..
PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer support and case management for Fresenius Medical Care (FMCNA) renal patient population (internal and external) by providing guidance, support, care coordination, education ..
Description The RN Case Management Process Advisor also ... (MTFs) and civilian providers. The RN Case Management Process Advisor will ... provide support for TRICARE benefit review, and Humana Military..
Description Job Summary 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..
... 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..
Job Description ****Full time float position supporting clinic at 2240 M St NW and surrounding D.C. clinics***** As the largest retail health care provider in the nation, and an industry leading ..
Registered Nurse - Per Diem in D.C.','230001CI','!*!HSC Home Care is actively hiring Registered Nurses in D.C. for openings with shifts available during the day, evening and weekends. HSC Home Care offers: ..
