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... The Senior Policy Governance Professional work assignments involve moderately complex to ... approach for project components, and work is performed without direction. Exercises ... Qualifications Bachelors degree or equivalent..
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Description The Utilization Management Nurse utilizes clinical nursing skills to ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently ... EST The Front..
... policy in order to complement utilization, cost and quality strategies. Meets ... resource for multiple departments, especially utilization management and care management groups. Leverages clinical experience and ... for..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently ... the Soul...
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently ... courses of..
... and action thresholds. Oversees facility’s Home Therapies Program if applicable. Accountable ... Decisions have an impact on work processes and outcomes. Erroneous decisions ... or customers. Participates and presents..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently ... Saturday, Sunday,..
Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for ... as needed. The Pre-Authorization Behavioral Health Professional 2 work assignments are varied and frequently ... courses..
... The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses ... The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently ... a Care..
... a team environment on Humana's health plan accreditations, performing complex tasks ... areas within Humana. Responsibilities Location: Work at Home Anywhere The Senior Accreditation Professional ... a team environment..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing ... in the state(s) in which nurse is required to practice Prior ... of prior experience in Behavioral..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently ... then will..
