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Job Information Humana Pre-Authorization Nurse 2 - Work at Home ... Puerto Rico Description The Pre-Authorization Nurse 2 reviews prior authorization requests ... the appropriate stakeholder. The Pre-Authorization Nurse 2..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... action. Responsibilities The Utilization Management Nurse 2..
Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied ..
Psychiatrist/APRN, on site or from your current location: Busy, out-patient practice is looking for full-time and/or part-time psychiatrists/psychiatric nurse practitioners to join our team. Responsibilities include providing evaluations and medication management. ..
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. The ..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..
Psychiatric Prescriber (MD/PCNS) (Full Time) Location: Woonsocket, RI Community Care Alliance is seeking a Psychiatric Clinical Nurse Specialist (PCNS) to provide mental health assessment and medication management to assigned clients with ..
Description The Stars Improvement, Clinical Professional 2 responsible for the development, implementation and management oversight of the company's Medicare Stars Program. The Stars Improvement, Clinical Professional 2 work assignments are varied ..
Team Leader- Integrated Health Home (Full Time) Location: Woonsocket, RI Community Care Alliance is seeking managerial candidates for its Integrated Health Home serving mentally ill adults. Within this role you will ..
