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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 1 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 1 work assignments ... of moderate complexity. Responsibilities The Utilization Management Nurse 1..
PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality ..
... 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..
... 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..
Specialty: RN Case ManagementJob 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 ..
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 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 Responsibilities The Telephonic Nurse Case Manager will be a member of the Case Management Team, providing a comprehensive, holistic approach for case management throughout the continuum of care. The case ..
$10,000 SIGN-ON BONUS FOR FULL-TIME Genesis is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical ..
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 Kindred at Home RN Clinical Manager in Wilkes Barre ... needs based on own the review of clinical documentation in addition ... to feedback and recommendations by Utilization..
$10,000 SIGN-ON BONUS Genesis is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We ..
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 ... Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments ... courses of action. Responsibilities The Utilization Management Nurse 2..
Job Information Kindred at Home RN Clinical Manager Home Health Full ... needs based on own the review of clinical documentation in addition ... to feedback and recommendations by Utilization..
... 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 .....
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 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..
