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Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
Description Responsibilities The Telephonic Care Manager will be part of the ... for Disease Management and Personal Nurse programs throughout the continuum of ... of the condition/disease. The care manager..
... and monitoring and evaluating the case management plan against the member's ... Sociology, Psychology, Gerontology or related field Registered Nurse (RN) licensed in the state ... of relevant experience..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... Medicaid Plan. The Utilization Management Nurse 2 work assignments are varied ... action. Responsibilities The Utilization Management Nurse 2..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... is seeking a NICU..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... Government. Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... Responsibilities The Intern - Care Manager, Registered Nurse, RN, will utilize Humana's Florida ... courses of..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate resource utilization, identification of opportunities ..
... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care Manager will assist beneficiaries as they ... Military TRICARE - PDC Care..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... is seeking a Telephonic..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Pittsburgh Pennsylvania Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
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 ..
