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... Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and ... waste, and abuse. The Compliance Nurse work assignments are varied and ... and overtime. Responsibilities The Compliance..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
... Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... Intern - Care Manager, Registered Nurse, RN, will utilize Humana's training ... action. The Care Manager, Telephonic..
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Description The Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Stars Improvement, Clinical Professional work assignments are varied and frequently ..
... a Labor & Delivery Registered Nurse .n nFull-Time Day Shift 7:00am ... imaging capabilities.n nThe RN Clinical Nurse is a proactive member of ... environment that is administered by..
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 ..
Quick drive to Macon, GA! Love what you do, do what you love, where do you want a contract? Call Accountable Healthcare Staffing and tell us! We currently have 7A & ..
Call Accountable Healthcare Staffing! We currently have 7A & 7P contracts available! Flexible schedule! Great Pay! We are currently looking for experienced RNÕs to become a part of our team. Enjoy ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..
... policies.nnEnsure compliance with regulatory and legal requirements by all department personnel ... activityn Successfully works with the nurse manager to employ change management ... skillsn Serves to support the..
PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality ..
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 ..
Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 1 work assignments ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for ... without direction. Responsibilities Senior Pre-Authorization Nurse: Serves as a team lead ... of varied nursing experience Registered Nurse -..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... Join Us! The Utilization Management Nurse 2..
Job Information Humana Home Health Registered Nurse in Atlanta Georgia Description Responsibilities As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing visits for ..
PURPOSE AND SCOPE:Supports the training and education of employees based in company facilities and programs within an assigned geographical area. Delivers standardized, competency based, training and development programs including new employee ..
Description The Senior Stars Improvement, Clinical Professional (RN) responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior Stars Improvement, Clinical Professional work assignments involve ..
Flexible schedule! Great Pay! We are currently looking for experienced Health Care Providers to become a part of our team. Enjoy the freedom and flexibility of working with an agency. Competitive ..
