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... Humana Medicaid Associate Director, Compliance Nursing in Newport Rhode Island Description ... Description The Associate Director, Compliance Nursing reviews utilization management activities and ... abuse. The Associate Director, Compliance..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and .....
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... to resources, approach, and tactical operations for projects and..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Island Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Newport Rhode Island Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..
... Rhode Island Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... that provides Humana members with..
... A FULL TIME DAYS UNIT MANAGER FOR RESPIRATORY AND REHABILITATION CENTER ... Join Genesis as a Unit Manager/Director - RN where within an ... will support the Director of..
... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care Manager will assist beneficiaries as they ... Military TRICARE - PDC Care..
... patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties ... service policy, procedures, standards of nursing practice, state and federal regulations. ... the direction of the Program..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... Government. Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will..
... Nationwide Associate Director, Utilization Management Nursing in Newport Rhode Island Description ... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate..
Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... Care Management Team, the care manager..
... patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All ... Care policy, procedures, standards of nursing practice, state and federal regulations. ... the direction of the Clinical..
Job Information Humana Telephonic Care Manager in Newport Rhode Island Description ... Island Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
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 ..
... be responsible for the overall operations for the nursing center starting a 5 PM ... responsibility to the Director of Nursing at 7a Monday. The employee ... taking calls,..
Description The Manager, Compliance Nursing reviews utilization management activities and ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines and ... schedules and goals. Responsibilities The..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Job Information Humana Senior Market Development Professional-RN-WAH Nationwide in Newport Rhode Island Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product ..
