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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 ..
... and communicates to FMS facility nursing staff and appropriate hospital personnel ... projects as assigned by direct supervisor. Other duties as assigned. PHYSICAL ... of an accredited School of..
... looking for a skilled, experienced Nursing Manager Operating Room to join ... Room will report to the Nursing Director of Perioperative Services. Supported ... of the best CNOR Nurse..
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 ..
... quality patient care through the nursing process of assessment, diagnosing, planning, ... for directing and coordinating all nursing care of patients based on ... patients based on established clinical..
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..