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Description The 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 Behavioral ..
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 ..
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. The ..
... Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Aberdeen South ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic..
... Information Humana Care Manager, Telephonic Nurse 2-WAH-CT and MT in Aberdeen ... Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, ... members. The Care Manager, Telephonic..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... take charge of their own healthcare..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere ... Aberdeen South Dakota Description The Nurse Auditor 2 performs clinical audit/validation ... to support optimal reimbursement. The Nurse Auditor 2..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Aberdeen South Dakota Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..
... Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... Intern - Care Manager, Registered Nurse, RN, will utilize Humana's Florida ... action. The Care Manager, Telephonic..
Licensed Practical Nurse (LPN) JOB SUMMARY: The Licensed Practical Nurse (LPN) will support Avera Education & Staffing Solutions’ temporary staffing service’s goal of excellence in patient care utilizing the nursing process, ..
Job Information Humana Manager, Utilization Management Nursing - North Central Region (Work at Home) in Aberdeen South Dakota Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ..
Job Information Humana Nurse Advice Line Telephonic Nurse - Remote- RN Compact License ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager,..
... Humana is a Fortune 60 healthcare company with a history of ... top place to work in healthcare, especially in areas of Diversity ... their home. We are a..
Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager,..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Aberdeen South Dakota Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
... Information Humana Utilization Management Registered Nurse - Remote in Aberdeen South ... Dakota Description The Utilization Management Nurse utilizes clinical nursing skills to ... administration determinations. The Utilization Management..
Specialty: RN-Medical Surgical TravelJob Description Registered nurses in this specialty practice primarily on hospital units and care for adult patients who are acutely ill with a wide variety of medical problems ..
... looking for a dynamic Registered Nurse to join the team working ... overpayments when they happen. The Nurse Auditor 2 validates and interprets ... Qualifications Associate's Degree Active Registered..
... Information Humana Utilization Management Registered Nurse, RN 2 in Aberdeen South ... Dakota Description The Utilization Management Nurse applies a Person-Centered approach, works ... problems. Responsibilities The Utilization Management..
Description CarePlus is seeking a Nursing Educator 2 who will plan, direct, coordinate, evaluate, develop, and/or deliver training and education programs for professional nursing personnel. The Nursing Educator 2 work assignments ..
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. The Utilization Management Nurse 2 work assignments ..
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..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Aberdeen South Dakota Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..