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Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Portland Maine Description The ... Portland Maine Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... benefit administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding of..
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 flexibility ..
... the Chief Medical Officer (CMO)/Medical Director to review PA requests. The ... medical equipment, outpatient therapies, skilled nursing facility therapies, and all outpatient ... for forwarding to the CMO/Medical..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Portland Maine Description The ... Portland Maine Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
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 on ..
Description Humana has articulated a long-term vision to transform from a health insurance company to a health services company distinguished by the prioritization of the health outcomes of our members. By ..
... the next level as a Director of Nursing in Training at Genesis, where ... and evaluate the quality of nursing services provided to patients/residents will ... challenges and by..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
... - RN Supervisor supports the Director of Nursing to ensure the delivery of ... satisfaction. Position HighlightsReport to the Director of NursingLead, guide and direct ... the clinical operations..
Job Information Centerwell Care Transition Liaison, Home Health Full Time in Portland Maine The Care Transition Liaison manages an assigned, limited number of key facility and/or physician accounts providing ongoing information ..
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. The Utilization Management Nurse 2 work assignments ..
... Join Genesis as a Unit Manager/Director - RN where within an ... unit you will support the Director of Nursing with the delivery of high ... operations, coordination and..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
