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Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Inverness Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Citrus Springs Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor ..
... Kidney Disease (ESKD) health care team this position participates in decision-making ... plan as indicated and notifies Team Leader Charge Nurse Supervisor or Physician ... a resource for health..
... Coordinates with the Clinical Leadership team to ensure all utilization reviews ... daily guidance to prior authorization team members ensuring that the service ... procedural and Florida Agency for..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
... overall goals of the patient/rehab team. Adjust treatment as needed to ... Confer with physician and clinical team members to obtain additional patient ... raise the bar on home..
... but have fun. GLC On-The-GO: Healthcare Staffing Solutions When it comes ... it comes to choosing a healthcare staffing partner to help manage ... unmatched service to each. Our..
... Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, ... raise the bar on home healthcare Kindred at Home, soon becoming ... home care, with an incredible..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
... articulate issues and solutions to team members, management, and external entities ... Qualifications Bachelor's degree in a healthcare field or equivalent experience. 5 ... years of experience in managed..
American Mobile Healthcare is seeking an experienced Cath ... Job Benefits At American Mobile Healthcare we take care of our ... inception in 1985, American Mobile Healthcare has set the..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Brooksville Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
... care plans in consultation with healthcare professionals. Evaluating medical information, as ... on discharge planning with the healthcare team. Answering questions and educating patients ... Medical Personnel is a..
... ACLS, BLSJob BenefitsAt American Mobile Healthcare we take care of our ... inception in 1985, American Mobile Healthcare has set the highest standards ... professional recruitment for the travel..