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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 ..
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 ..
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 ..
Up to a $3,000 Sign on Bonus for full time! BenefitsHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffEmployee Assistance Program to support mental healthEmployee Foundation to financially assist through ..
... greater autonomy. In your assigned nursing unit, you will support the ... will support the Director of Nursing with the delivery of efficient ... delivery of efficient and effective..
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..
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..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Montpelier Vermont Description The Supervisor, Pre-Authorization Nursing will be managing the team ... to the appropriate..