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Description The Senior Quality Assurance, Clinical Professional requires being both a ... critical review judgment to make clinical determinations Knowledge of inpatient and ... of 3-5 years of general nursing..
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 ..
... Humana Medicaid Associate Director, Compliance Nursing in Atlanta Georgia Description The ... Description The Associate Director, Compliance Nursing reviews utilization management activities and ... abuse. The Associate Director, Compliance..
Job Information Centerwell RN Clinical Manager Home Health Full Time ... Time in Decatur Georgia The Clinical Manager coordinates and oversees all ... care patient services provided by clinical personnel...
POSITION FEATURES:Location: Grady Hospital PURPOSE AND SCOPE:The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet ..
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 ..
... team of physicians, nurses, and clinical staff, we offer the very ... diagnostic imaging capabilities.n nThe RN Clinical Nurse is a proactive member ... care. They practice in a..
... patient care while maintaining cost-effective clinical operations in accordance with all ... and administrative policies as the clinical leader, has the authority to ... and regulations. Ensures all FMS..
... RN, you will enter our Clinical Advancement Program (CAP) to grow ... in CAP, you will develop clinical leadership skills, derive greater career ... for your experience, knowledge, and..
... 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..
... Humana RN, Senior Stars Improvement, Clinical Professional in Atlanta Georgia Description ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible ... Program. The Senior Stars Improvement,..
... 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..
Description The Senior Stars Improvement, Clinical Professional (RN) responsible for the ... Program. The Senior Stars Improvement, Clinical Professional work assignments involve moderately ... Responsibilities The Senior Stars Improvement, Clinical..
... RN - Senior Stars Improvement, Clinical Professional - Must reside in ... Description The Senior Stars Improvement, Clinical Professional (RN) responsible for the ... Program. The Senior Stars Improvement,..
At CareTrack our goal is to create a high-performing culture comprised of energized employees who teach, learn and play as a team to win. If you think you are the perfect ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Georgia Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..
... entry level designation into the Clinical Advancement Program (CAP) for new ... Care policy procedures standards of nursing practice state and federal regulations.Performs ... and with guidance from the..
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..
... will be responsible for performing clinical audits on medical record documentation ... record documentation for quality and clinical compliance with contract requirements as ... of three (3) years of..
Job Information Centerwell RN Clinical Manager in Decatur Georgia The ... Manager in Decatur Georgia The Clinical Manager coordinates and oversees all ... care patient services provided by clinical personnel...
