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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 ..
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 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 ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Billings Montana Description The Supervisor, Pre-Authorization Nursing will be managing the team ... to the appropriate..
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..
