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... Humana Medicaid Associate Director, Compliance Nursing in Albany New York Description ... Description The Associate Director, Compliance Nursing reviews utilization management activities and ... abuse. The Associate Director, Compliance..
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 ..
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The ..
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 ..
Job Information Humana Senior Clinical Recruiter in Albany New York ... New York Description The Senior Clinical Recruiter recruits qualified applicants for ... determines marketing approach. The Senior Clinical Recruiter..
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 ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Albany New York Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... York Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..
Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product ... Product Strategy team. The Senior Clinical Business Professional work assignments involve ... at home anywhere..
Description The RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..
Title: Clinical QA Analyst Location: Albany, NY will be ... ASAP through 12/31/2022 As a Clinical Quality Assurance (QA) Analyst, you will collaborate with team ... recommendations to project management...
Title: Clinical QA Analyst Duration: 12 months Location: Albany, ... due to COVID As a Clinical Quality Assurance (QA) Analyst, you will collaborate with team ... recommendations to project management...
... Humana RN, Senior Stars Improvement, Clinical Professional in Albany New York ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible ... Program. The Senior Stars Improvement,..
... 2 will work on the clinical research and development team with ... to develop, implement and maintain clinical lab audit concepts. The Nurse ... Nurse Auditor 2 will perform..
Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..
Description The Senior Nursing Educator plans, directs, coordinates, evaluates, ... and education programs for professional nursing personnel. The Senior Nursing Educator work assignments involve moderately ... variable factors. Responsibilities The..
... Care policy, procedures, standards of nursing practice, state and federal regulations. ... under the direction of the Clinical Manager and with the guidance ... notifies Team Leader, Charge Nurse,..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing works within thorough, prescribed guidelines ... approach. Responsibilities The Supervisor, Pre-Authorization Nursing: Completes..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, ... plan. The Senior Provider Engagement, Clinical Professional work assignments involve moderately ... Responsibilities The Senior Provider Engagement, Clinical..
... The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... for appropriate change management. Applies clinical and coding experience to conduct ... Nurse (RN) license 3 years..
... entry level designation into the Clinical Advancement Program for Registered Nurses. ... Care policy, procedures, standards of nursing practice, state and federal regulations. ... under the direction of the..