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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 ..
... Care policy, procedures, standards of nursing practice, state and federal regulations. ... outcomes, documents and updates the nursing assessment and plan of care ... of an accredited School of..
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 ..
PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Functions as the hemodialysis team leader ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Minneapolis Minnesota Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..
Prime HealthCare Staffing is currently seeking Registered Nurse - Operating Room Nurse for positions in Monticello, MN The ideal candidate will possess a current MN license. This is a Registered Nurse ..
Job Information Humana Utilization Management Registered Nurse, RN 2 in Minneapolis Minnesota Description The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical knowledge ..
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 ..
Job Information Kindred at Home Registered Nurse Case Manager Full Time *Up to $10k Sign on Bonus in Roseville Minnesota As a Home Health RN Case Manager , you will: Up ..
Job Information Humana Utilization Management Registered Nurse - Remote in Minneapolis Minnesota Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..
Job Description & RequirementsRegistered Nurse u2013 Emergency Room - (ER RN)StartDate: 03/17/2022Available Shifts: 12 N Pay Rate: $1495.79 - 1648.43This Emergency Room (ER) unit boasts the latest in cutting-edge technology as ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Minneapolis Minnesota Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Job Information Kindred at Home Registered Nurse, Home Health Full Time *Up to $10k Sign on Bonus* in Roseville Minnesota As a Home Health Registered Nurse , you will: Flexible schedule. ..
RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..
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, ..
Job Information Centerwell Registered Nurse, Home Health PRN in Roseville Minnesota As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing visits for home ..
... service policy, procedures, standards of nursing practice, state and federal regulations. ... interdisciplinary team to update the nursing assessment and plan of care ... of an accredited School of..