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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 ..
... 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..
Start Date: ASAP DISRUPTING THE TYPICAL AGENCY MODEL Managed by an experienced team of Healthcare Staffing Pioneers, Accountable thinks a little differently from the normal staffing structure out there. Our team ..
... Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Jersey City ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic..
Description The Compliance Nurse 2 reviews utilization management activities ... waste, and abuse. The Compliance Nurse 2 work assignments are varied ... courses of action. The Compliance Nurse 2 will..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Jersey City New Jersey Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will ..
Nomad Health, the modern healthcare staffing company, seeks an experienced ... company, seeks an experienced registered nurse for this rewarding travel assignment opportunity. Join Nomad's growing ... Start Date: QUALIFICATIONS..
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..
... Information Humana Utilization Management Registered Nurse, RN 2 in Jersey City ... Jersey Description The Utilization Management Nurse applies a Person-Centered approach, works ... problems. Responsibilities The Utilization Management..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Jersey City New Jersey Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews ..
Job Information Humana Senior Stars Improvement, Clinical Professional (RN/LPN) - Remote NY, NJ, CT, MA, ME, NH in Jersey City New Jersey Description The Senior Stars Improvement, Clinical Professional (RN/LPN) role ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere ... City New Jersey Description The Nurse Auditor 2 performs clinical audit/validation ... to support optimal reimbursement. The Nurse Auditor 2..
... Information Humana Utilization Management Registered Nurse - Remote in Jersey City ... Jersey Description The Utilization Management Nurse utilizes clinical nursing skills to ... administration determinations. The Utilization Management..
... Training Provided No Dialysis or Healthcare experienced required Full-Time variable schedule ... As a Peritoneal Dialysis Registered Nurse (PD RN), you will be ... * Wear many hats from..
... 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..
... area. Up to $3,570/week!nnJob Type: Travel ContractnProfession: Registered NursenSpecialty: Med SurgnMinimum ... an estimated pay package. Individual healthcare professional requirements such as travel may impact final pay package .....