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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 ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... 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..
... Overview Job Title: Telephonic Case Manager Company: CorVel Corporation Category: Claims, ... Tweets by @CorVelCorp Telephonic Case Manager Mechanicsburg, PA 17055 JOB SUMMARY: ... JOB SUMMARY: The Telephonic Case..
The BAYADA Nurse Residency Program is a transition to practice program for new graduate nurses who would like a meaningful and exciting career in home care. The program focuses on creating ..
Care.com Hands-on Care Needed For My Father In Pittsburgh Est. $10.80 - $13.36 Full-time, Part-time Pittsburgh, PA 15220 Urgently Hiring Apply Now Gale Healthcare Paid Daily Certified Nursing Assistant Est. $13.94 ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Learn More Share this job Send yourself a reminder Alert me to jobs like this one ACMH Hospital is seeking applicants for a Nurse Manager who will oversee and effectively manage ..
Job DescriptionAs a MinuteClinic Nurse Practitioner (Provider), you will provide ... report to the Senior Practice Manager (SPM) and:u2022 Provide holistic, evidenced-based ... is preferred.EducationMasteru2019s Degree level Family Nurse Practitioner..
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..
Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate resource utilization, identification of opportunities ..
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 ..
Description The Behavioral Health Care Manager, Telephonic Nurse 2 , in a telephonic ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... seeking a..
PrimeCare Medical is looking for au00a0Registeredu00a0Nurse (RN)u00a0to work as theu00a0Health Service Administratoru00a0in the medical department at the Washington County Jail located in Washington PA. In this role the HSA is the ..
Job ID 21000JP6Available Openings 1PURPOSE 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. ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
We have an immediate opportunity for Case Managers. General Summary: The Case Manager coordinates and manages services provided to each patient to establish a focused, individualized program geared towards specific goals ..
Job Information Humana Manager, Utilization Management RN - Remote ... in Pittsburgh Pennsylvania Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Pittsburgh Pennsylvania Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
Advantage Home Health Services is currently seeking a Full-Time Registered Nurse to join our vastly growing Home Health team in the Aliquippa, Beaver, Hopewell and Surrounding Areas! This position is responsible ..
