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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... application to veterinary medicine. Perform quality control checks on all procedures ... Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the Centers ... Customer, including answers to minimum..
Description Humana Healthy Horizons in Louisiana is seeking an Associate Director, Utilization Management Nursing who will use clinical knowledge, communication skills, and independent critical thinking skills to provide the best and ..
... will be interview. The hiring supervisor/manager has 90 days from the ... RECEIVED: General from an RN Manager or other higher level personnel. ... line supervisor. Differs from RN..
Description The Manager, Risk Adjustment oversees coding educators ... Adjustment oversees coding educators and quality assurance audits of medical records and ... and Medicaid Services (CMS). The Manager, Risk Adjustment..
