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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 ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... North Carolina Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Kindred at Home RN Clinical Manager - Gastonia, NC in Gastonia North Carolina The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, ..
Job Information Centerwell RN Case Manager, Home Health Full Time-Flexible schedule ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical Manager...
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH ... North Carolina Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Description The Manager, Software Engineering codes software applications based on business requirements. The Manager, Software Engineering works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; ..
... Information Centerwell Registered Nurse Case Manager Full Time-Flexible schedule 4 day ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..
PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient ..
Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..
Job Information Centerwell RN Case Manager, Home Health Full Time-4 day ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical Manager...
Job Information Humana Technical Product Manager - Remote in Charlotte North Carolina Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases ..
... Information Centerwell Registered Nurse Case Manager Full Time-Flexible schedule – 7 ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..
Job Information Kindred at Home RN Clinical Manager in Gastonia North Carolina The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions ..
... Information Centerwell Registered Nurse Case Manager PRN in Charlotte North Carolina ... as directed by the Clinical Manager. Confer with physician in developing ... with physician orders, under Clinical..
... Information Centerwell Registered Nurse Case Manager Full Time-4 day work week ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
