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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 Tampa Florida 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. ... outcomes, documents and updates the..
... entry level designation into the Clinical Advancement Program (CAP). This position ... Care policy procedures standards of nursing practice state and federal regulations.Performs ... and with guidance from the..
... 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..
... 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 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 ..
Specialty: Travel RN-CardiologyJob Description As cardiology clinical nurse work in hospitals, care for critically ill patients, as well as those recovering from cardiac procedures such as bypass, angioplasty, or pacemaker surgery. ..
... Humana RN, Senior Stars Improvement, Clinical Professional in Tampa Florida Description ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible ... Program. The Senior Stars Improvement,..
... 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..
... 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..
... 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..
... is looking for an Epic Analyst Clinical Documentation RN.This fantastic opportunity is ... for quality of care.The Epic Analyst Clinical Documentation RN supports the mission ... software. The Epic..
Picture this: you, as a dynamic healthcare leader, navigating the bustling corridors of a world-class hospital, all while basking in the Floridian sunshine. Intriguing, isnt it? If youve ever dreamed of ..
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..
Job Information Humana Utilization Management Nurse Lead - Remote FL in Tampa Florida Description The Utilization Management Nurse Lead utilizes clinical nursing skills to support the coordination, documentation and communication of ..