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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..
... Essentials Must reside in a RN Compact State and have a ... Nursing Compact Multi State License RN licensure, active and unrestricted At ... setting, home health, DME, triage,..
Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... at home anywhere, Compact state RN licensed required The..
Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... as technology allows 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 ... Saturday, Sunday, Monday, Tuesday 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 Manager, Utilization Management Nursing utilizes clinical nursing ... benefit administration determinations. The Manager, Utilization Management Nursing works within specific ... succeed, we succeed! The Manager, Utilization Management Nursing..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
... refers to internal stakeholders for review depending on case findings. Educates ... case findings. Educates providers on utilization and medical management processes. Enters ... established guidelines/procedures. Required Qualifications Active..
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 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, Utilization Management Nursing utilizes clinical nursing ... benefit administration determinations. The Manager, Utilization Management Nursing works within specific ... and goals. Responsibilities The Manager, Utilization Management Nursing..
Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..
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 Director, Health Services utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding ..
... 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 Associate Director, Utilization Management Nursing utilizes clinical nursing ... administration determinations. The Associate Director, Utilization Management Nursing requires a solid ... delivery process. The Associate Director, Utilization Management..
... 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..
