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... Humana Medicaid Associate Director, Compliance Nursing in Montpelier Vermont Description The ... Description The Associate Director, Compliance Nursing reviews utilization management activities and ... abuse. The Associate Director, Compliance..
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 ..
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 ..
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 ..
JOB SUMMARY: Under the direction of the DON/ADON, the house supervisor performs clinical and administrative responsibilities for the facility during his/her assigned shift. Works as House Supervisor every other weekend. QUALIFICATIONS: ..
Job DescriptionnRegistered Nurse(RN) / Travel / Medical-SurgicalnRegistered Nurse Medical-SurgicalnType: Registered Nurse (RN) nBerlin, VTnMAS Medical Staffing is currently seeking a(n) Registered Nurse (RN) professional with Registered Nurse (Medical-Surgical) experience for a ..
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 ..
Job Information Humana Utilization Management Registered Nurse, RN 2 in Montpelier Vermont Description The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical knowledge ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Montpelier Vermont Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Genesis HealthCare is one of the leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..
Description The Supervisor, 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 Supervisor, Compliance ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Montpelier Vermont Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..
... action. Hold an active Compact nursing license- must have prior to ... Council of State Boards of Nursing (NCSBN) developed the Nursing Licensure Compact (NLC), which is ... of..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care Manager, ..
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 for Humana's Kentucky Medicaid Plan. The Utilization ..
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 ..
... Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in ... Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... determinations. The..
Job Information Humana Utilization Management Registered Nurse - Remote in Montpelier Vermont Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..
Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 1 work assignments ..
