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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 ..
... SCOPE OF WORK: The lead nurse will mentor and support school-based ... and support school-based nurses and nurse substitutes in the coordination of ... administration as needed. The lead..
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..
... the medical care required. Registered Nurse (RN) Benefits: Enjoy being part ... opportunities for career advancement. Registered Nurse (RN) Responsibilities: Follow a designated ... clients' conditions; reporting changes to..
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 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..
... 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..
The School Nurse is a unionized, exempt/salary position ... Principal, and the District Lead Nurse. This position is part-time for ... and staff. Specifically, the school nurse organizes, provides, and/or..
... 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..
... or RN designee, the LPN Nurse Practice Educator functions as a ... focusing on the following areas:* Nurse Orientation,* Nurse Education,* Competencies Evaluation and Maintenance ... Control (including Employee..
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..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Montpelier Vermont Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
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 ..
... of living options and professional clinical services. We are changing how ... management and staff along with clinical leadership, Wound Specialists (NWS), vendors ... central supply serving as the..
