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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 ID 21000I1OAvailable Openings 1Position Specific Information Full-TimePURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and ..
Job Information Humana Care Coach 1 - Nassau County - FL in Yulee Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal ..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
... AND SCOPE: The registered professional nurse (CAP RN 1) position is ... the direction of the Program Manager with guidance from the Educator, ... a Team Leader or designated..
... the direction of the Facility Manager and/or Charge Registered Nurse, utilizing standard nursing techniques to ... any issues to the Facility Manager.Ensures a clean, safe and sanitary ... applicable..
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 ..
... AND SCOPE: The registered professional nurse (CAP RN 1) position is ... the direction of the Clinical Manager (CM) and with the guidance ... and notifies Team Leader, Charge..
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 ..
... direct supervision of a licensed nurse in accordance with organization policies, ... condition directly to the registered nurse or supervisor. Observe patient and ... unusual findings to the registered..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FVC/FMCNA Compliance Program, including following all regulatory and FVC/FMS policy requirements. Provides direct nursing care ..
