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Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
... Behavioral Health Care Manager, Telephonic Nurse, in a telephonic environment, assesses ... members. The Care Manager, Telephonic Nurse work assignments are varied and ... Behavioral Health Care Manager, Telephonic..
Job Information Humana Utilization Management Registered Nurse - Remote in Ridgeland Mississippi ... Mississippi Description The Utilization Management Nurse utilizes clinical nursing skills to ... administration determinations. The Utilization Management..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. Responsibilities The Utilization Management Nurse 2/Home Health ..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Ridgeland Mississippi Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
... The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... The Intern - Care Manager, Registered Nurse, RN, will utilize Humana's Florida ... action. The Care..
... Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and ... waste, and abuse. The Compliance Nurse work assignments are varied and ... and overtime. Responsibilities The Compliance..
... Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic..
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is ... or in collaboration with other Registered Nurses.Performs ongoing systematic collection and ... and notifies Team Leader Charge..
... Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Ridgeland Mississippi ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager,..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls ... The NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about ... and work independently. Responsibilities The Nurse..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... Medicaid Plan. The Utilization Management Nurse 2 work assignments are varied ... action. Responsibilities The Utilization Management Nurse 2..
Description The Nurse Auditor 2 will work on ... clinical lab audit concepts. The Nurse Auditor 2 will perform clinical ... fraud, waste, and abuse. The Nurse Auditor 2 work..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... action. Responsibilities The Utilization Management Nurse 2..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..
... The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... The Intern - Care Manager, Registered Nurse, RN, will utilize Humana's training ... action. The Care..
... The Weekend Telephonic Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... Join Us! The Utilization Management..
Job Information Humana Utilization Management Registered Nurse, RN 2 in Ridgeland Mississippi ... Mississippi Description The Utilization Management Nurse applies a Person-Centered approach, works ... problems. Responsibilities The Utilization Management..
... 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is ... the Clinical Advancement Program for Registered Nurses. The CAP RN 1 ... and notifies Team..
