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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 ..
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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 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..
... make a difference.Advance in your nursing career to a leadership role ... with Genesis by joining our nursing team as an RN Supervisor! During your assigned shift, you .....
Job Information Centerwell Home Health Aide PRN in New Bedford Massachusetts A Home Health Aide ( HHA ): Provides direct patient care to patient under direction of the RN and according ..
988 Clinical Supervisor (Overnights/Evenings) – 4-Day Work Week! (Full Time) Location: East Providence, RI The 988 Crisis Call Center at BH Link is hiring professionals who are looking to make a ..
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 ..
988 Clinical Supervisor (Overnights/Evenings) – 4-Day Work Week! (Full Time) Location: East Providence, RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption accommodation ..
988 Clinical Supervisor (Full Time) Location: East Providence, RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption accommodation is granted. Proof of vaccination ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... Newport Rhode Island Description The Supervisor, Pre-Authorization Nursing will be managing the team ... to the appropriate..
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 ..