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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,..
Description Full-Time Remote, Telephonic RN opportunity. Humana Care Support is a division of Humana that is dedicated to helping adults remain independent in their homes. Our nurses are titled Care..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in Newport Rhode Island Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates..
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..
Job Overview I am delighted to assist my my client based in Munster who is seeking nurses with experience in Coronary Care to join their fantastic team. My clients are..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions..
Description The Weekend Telephonic Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse..
Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States Only in Newport Rhode Island Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment,..
Job Overview If you have a passion for elderly care and are committed to providing a high level of care to all residents, while supporting a Director of Nursing (DON)..
RESPIRATORY AND REHABILITATION CENTER OF RHODE ISLAND IS NOW HIRING FOR 7A-3P AND 3P-11P MEDTECHS! ASK ABOUT OUR $3000 RETENTION BONUS!! BenefitsHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time..
Genesis HealthCare is a leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor,..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care..
Description The Senior Market Consultation/Partnership Professional promotes and improves the quality and measurement of care delivery programs with a market(s). The Senior Market Consultation/Partnership Professional work assignments involve moderately complex..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that..
Job Overview Are you an experienced Director of nursing with a passion for creating exceptional care environments? If so, we have an incredible opportunity for you! We're seeking a visionary..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Newport Rhode Island Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement...
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general..
NOW HIRING FOR A FULL TIME DAYS UNIT MANAGER FOR RESPIRATORY AND REHABILITATION CENTER OF RHODE ISLAND!! NOW OFFERING A 10,000 RETENTION BONUS! BenefitsTuition AssistanceVariable compensation plansHealth, Dental, Vision, Company-paid..
