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... and implements product standardization and utilization. Monitors utilization and cost data and identifies ... communicate, and make improvements to utilization profiling. Actively participates, communicates and ... performance measurements as..
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 RN, Compliance Nurse 2 reviews utilization management activities and documentation to ... fraud, waste, and abuse. The RN Compliance Nurse 2 work assignments ... courses of action. Responsibilities..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., ..
Description The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate ..
Description At Conviva Care Solutions, we want to inspire people to live life their best healthy life. Conviva Care Solutions is a management services organization representing nearly 300 physician practices, 800 ..
