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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..
... 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..
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 ..
... 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 Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Green Bay Wisconsin Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..
... Recommend disciplinary action to Clinical Manager and initiate as appropriate.Ensure compliance ... the absence on the Clinical Manager ensuring compliance with applicable regulations, ... and effective matter. With Clinical..
... and directors to develop streamlined operations where equipment, supplies and staff ... from the Wisconsin Board of Nursing obtained prior to hire date ... from the Wisconsin Board of..
... Nationwide Associate Director, Utilization Management Nursing in Green Bay Wisconsin Description ... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate..
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 ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Wisconsin Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..
... Bay Wisconsin Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... that provides Humana members with..
Details Department: Nursing Education Schedule: Full-time days Location: ... alignment of clinical professional development operations with the organization's strategic priorities. ... required. Education: Bachelor's degree in nursing or diploma from..
... this role: As a Clinical Manager with Fresenius Medical Care, you ... is delivered while maintaining clinical operations. As the facility leader, you ... advanced leadership. As a Clinical..
Job Information Humana Manager, Utilization Management Nursing - North Central Region (Work ... Green Bay Wisconsin Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination,..
... care while maintaining cost-effective clinical operations in accordance with all legal, ... of an accredited School of Nursing (RN). Current appropriate state licensure. ... 12 months experience in clinical..
... to jobs like this one Operations Manager Marshfield Clinic Health System is ... Health System is seeking an Operations Manager to join their Eau Claire ... their Eau Claire..
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..
Job Information Humana Telephonic Care Manager in Green Bay Wisconsin Description ... Wisconsin Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..