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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 Birmingham Alabama Description The ... Description The Associate Director, Compliance Nursing reviews utilization management activities and ... abuse. The Associate Director, Compliance..
... 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..
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 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 ..
... 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 Hoover Alabama The ... Manager in Hoover Alabama The Clinical Manager coordinates and oversees all ... care patient services provided by clinical personnel...
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..
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 ..
... 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 Humana's recently created Clinical Resource Team is looking to ... Do you have a solid clinical background in acute care? Well, ... Auditor opportunity with Humana. Performs clinical audit/validation..
... 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..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Birmingham Alabama Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
... Humana Senior Provider Engagement , Clinical Professional - Mobile, AL in ... Description The Senior Provider Engagement, Clinical Professional develops and grows positive, ... plan. The Senior Provider Engagement,..
Job Information Humana Senior Clinical Recruiter in Birmingham Alabama Description ... Birmingham Alabama Description The Senior Clinical Recruiter recruits qualified applicants for ... determines marketing approach. The Senior Clinical Recruiter..
Specialty: RN-PACU Travel Job Description PACU nurses provide intensive care to patients before anesthesia and as they awaken from anesthesia after a surgical procedure. Responsible for all aspects of patient care ..
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..
... Humana RN, Senior Stars Improvement, Clinical Professional in Birmingham Alabama Description ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible ... Program. The Senior Stars Improvement,..
... entry level designation into the Clinical Advancement Program for Registered Nurses. ... service policy, procedures, standards of nursing practice, state and federal regulations. ... interdisciplinary team to update the..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Alabama Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..
