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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 work assignments are ... the Soul. Join Us! 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..
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..
... 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..
... 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 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 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..
Primary Duties: Coordinate and manage pre-certification, decision point reviews, case management and utilization reviews in New Jersey Skills: PT/FT RN Nurses. Managerial skills required. NJ License. Phone : 877-880-5888 Ext 1125 ..
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 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 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 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...
Job Description The Per Diem Nurse provides all services under supervision of the Director of Nursing, as directed by the Medical Director. Maintains open communication lines with Executive Director, Medical Director, ..
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 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. ..
Position ID: 159142 Share About Raritan Valley Community College: Ranked by BestColleges.com and Niche.com as the #1 community college in New Jersey, Raritan Valley Community College has been serving as an ..
... 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 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 1 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 1 work assignments ... of moderate complexity. Responsibilities The Utilization Management Nurse 1..
