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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..
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 ..
Description The Supervisor, Health Services Nursing serves as the strategic leader for Utilization and Case Management - including all clinical Physical and Behavioral Health (outpatient, inpatient and post-acute) and pharmacy decisions, ..
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..
... Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and ... Certified Diabetes Care and Education Specialist-Remote-US in Lancaster South Carolina Description ... Certified Diabetic Care and Education..
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 ..
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..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Lancaster South Carolina Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..
Description The RN Clinical team is looking for a ... looking for a dynamic Registered Nurse to join the team working ... will be someone who applies clinical and coding..
... Weekend RN - Fulltime Registered Nurse for Weekend Home Health - ... in Monroe North Carolina The Clinical Assessment Advisor - Baylor directly ... health aides to ensure optimal..
... 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..
... Fort Mill South Carolina The Clinical Assessment Advisor directly completes and ... health aides to ensure optimal clinical outcomes. Works with physician and/or ... source to obtain all pertinent..
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, Pre-Authorization ..
