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... 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 ... Bachelor's..
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Description The Pre-Authorization Nurse reviews prior authorization requests for ... Kentucky Medicaid Plan. The Pre-Authorization Nurse work assignments are often straightforward ... you Come In The Pre-Authorization Nurse completes medical..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... and goals. Responsibilities The Manager, Utilization..
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 ... courses of action...
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to ... Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments are varied and ... courses of action...
... not be limited to, Care Management, Utilization Management, and/or Compliance. RN licensure is ... of clinical experience Licensed Registered Nurse (RN) in the (appropriate state) ... PowerPoint and Outlook..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... succeed, we succeed! The Manager, Utilization..
Description The Compliance Nurse 2 reviews care management activities and documentation to ensure ... waste, and abuse. The Compliance Nurse 2 work assignments are varied and ... courses of action...
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 Utilization Management Nurse 2 utilizes clinical nursing skills to ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and ... the Soul. Join..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are varied and..
Description The Pre-Authorization Nurse 1 reviews prior authorization requests ... the appropriate stakeholder. The Pre-Authorization Nurse 1 work assignments are often ... - 6p. Responsibilities The Pre-Authorization Nurse 1 completes..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing ... in the state(s) in which nurse is required to practice Prior ... for Investigation Processing) Work at..
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 ... as technology allows..
... Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... and quality performance and staffing management. Detailed Responsibilities include: Leads Medicaid ... Medicaid operational process and..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding ... delivery process. The Associate Director,..
