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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 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..
... 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..
... 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..
Job Information Humana Manager, Utilization Management Nursing - Medicare / ... Dover Delaware Description The Manager, Utilization Management Nursing utilizes clinical nursing ... benefit administration determinations. The Manager, Utilization Management..
... 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 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 Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes ... discussed during the interview. The Utilization Management Behavioral Health Nurse completes ... obtain sufficient clinical information...
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..
Job Information Humana Manager, Utilization Management RN - Remote in Dover Delaware ... Dover Delaware Description The Manager, Utilization Management Nursing utilizes clinical nursing ... benefit administration determinations. The Manager,..
Job Information Humana Utilization Management Registered Nurse - Remote ... in Dover Delaware Description The Utilization Management Nurse utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse..
... 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..
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..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC state required in Dover Delaware Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' ..
... 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..
... Information Humana Nationwide Associate Director, Utilization Management Nursing in Dover Delaware ... Delaware Description The Associate Director, Utilization Management Nursing utilizes clinical nursing ... administration determinations. The Associate Director,..
Job Information Humana Utilization Management Registered Nurse, RN 2 in Dover Delaware Description ... in Dover Delaware Description The Utilization Management Nurse applies a Person-Centered ... moderately complex problems. Responsibilities..
... 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..
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..
Position: RN Case ManagementLocation:Shift:Job Details: Responsible for coordinating medical care, and matching patient needs and preference with judicious use of healthcare resources Educates physicians regarding InterQual criteria, documentation of patient acuity ..
... 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..
