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... Humana Medicaid Associate Director, Compliance Nursing in Billings Montana Description The ... 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 ..
Job Information Humana Senior Clinical Recruiter in Billings Montana Description ... Billings Montana Description The Senior Clinical Recruiter recruits qualified applicants for ... determines marketing approach. The Senior Clinical Recruiter..
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 ..
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 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..
Specialty: Travel RN-Post Operations/Recovery RoomJob Description Post-operative nurses provide intensive care to patients as they awaken from anesthesia after a surgical procedure. Because they typically have significant experience in a medical-surgical ..
... Benefits Guide Magnet: Commitment to Nursing Excellence Billings Clinic is proud ... proud to be recognized for nursing excellence as a Magnet®-designated organization, ... CAH RN Hospital (Columbus) SBC..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Billings Montana Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
... 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..
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..
... Humana RN, Senior Stars Improvement, Clinical Professional in Billings Montana 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..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Montana Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..
Description The Senior Stars Improvement, Clinical Professional (RN or LPN) responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior Stars Improvement, Clinical Professional work ..
... 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 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 ..
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 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 ..
... Time Salary: Open Categories: General Nursing Internal Number: 27544 Job Summary: ... multi-disciplinary team, medical staff and nursing personnel to identify appropriate level ... Home Health, Transitional Care, Skilled..
Description RN - Provider Clinical Liaison contributes to administration of ... management. The RN - Provider Clinical Liaison work assignments involve moderately ... or data requires an in-depth clinical evaluation..
