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Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... Responsibilities The Care Manager, Telephonic Nurse..
... Senior Quality Assurance (Home Health) Clinical Professional consults and collaborates with ... establish high quality standards in clinical products and services as well ... to assignments. Role Essentials Registered..
... Responsibilities Be part of our Clinical Support Team - Humana is ... - Humana is seeking a Clinical Consultant who will be accountable ... results. Humana is seeking a..
... environment for all. Responsibilities The Nurse Practitioner (NP) works in our ... professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, quality based coder, referral coordinator ... This..
Description The Care Manager, Telephonic Nurse 2 employs a variety of ... (https://www.youtube.com/watch?v=0jjvy9dtpcg) Required Qualifications Active Registered Nurse (R.N.) license with no disciplinary ... minimum of 3 years of clinical..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... and by leader. Utilization..
... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the clinical delivery process. The National Medicaid ... The National Medicaid Director of..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are ... overpayments when they happen. 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 all ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Colorado Springs Colorado Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..
Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..
