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Description The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient outcomes. The Nurse Practitioner works on problems of diverse scope and complexity ranging from moderate to substantial. ..
... Humana Medicaid Associate Director, Compliance Nursing in Charlotte North Carolina 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 ..
... Information Kindred at Home RN Clinical Manager in Gastonia North Carolina ... in Gastonia North Carolina The Clinical Manager coordinates and oversees all ... care patient services provided by..
... Information Kindred at Home RN Clinical Manager - Gastonia, NC in ... in Gastonia North Carolina The Clinical Manager coordinates and oversees all ... care patient services provided by..
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..
... 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..
... 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..
... Information Kindred at Home RN Clinical Manager Home Health Full Time ... in Greenville North Carolina The Clinical Manager coordinates and oversees all ... care patient services provided by..
... in Charlotte North Carolina The Clinical Manager coordinates and oversees all ... care patient services provided by clinical personnel. Develops, plans, implements, analyzes, ... plans, implements, analyzes, and organizes..
... 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..
... 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..
... 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..
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 ..
... Humana RN, Senior Stars Improvement, Clinical Professional in Charlotte North Carolina ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible ... Program. The Senior Stars Improvement,..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Charlotte North Carolina Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..
... 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 ..
... 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,..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Carolina Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..
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 ..
