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Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
... Care policy, procedures, standards of nursing practice, state and federal regulations. ... outcomes, documents and updates the nursing assessment and plan of care ... and procedures as directed by..
... Care policy, procedures, standards of nursing practice, state and federal regulations. ... outcomes, documents and updates the nursing assessment and plan of care ... other duties as assigned by..
Description The Supervisor, Compliance Nursing reviews utilization management activities and ... fraud, waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed guidelines ... and analytical approach. Responsibilities The..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions ..
... RN will monitor and evaluate nursing care in accordance with PrimeCare ... responsible for ensuring that the nursing practice complies with established nursing standards. In addition, the Registered .....
Description The Learning Facilitation Professional 2 (LFP2) plans, coordinates, conducts or facilitates learning experiences for Humana Military associates and/or external audiences. The LFP2 creates an environment that is conducive to learning ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... Albany New York Description The Supervisor, Pre-Authorization Nursing will be managing the team ... to the appropriate..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for ... to the appropriate stakeholder. The Supervisor, Pre-Authorization Nursing works within thorough, prescribed guidelines ... and analytical approach. Responsibilities The..