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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 ..
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 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 Humana Care Manager, Telephonic Nurse 2 (Fully Bilingual RN with Clinical exp.) - WAH Puerto Rico in San Juan Puerto Rico Description The Care Manager, Telephonic Nurse 2 , ..
... Health Nurse 2 utilizes clinical nursing skills to support the coordination, ... facilitate optimal care and treatment. Nursing license is required. Understands department, ... Minimum of Associate's Degree in..
Job Information Humana Manager, Care Management/HMS (RN FULLY BILINGUAL with supervisory and Clinical exp) San Juan, PR in San Juan Puerto Rico Description The Manager, Care Management leads teams of nurses ..
DescriptionLend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone every day. Brighten prospects for patients and your career. Connect with your goals and ..
... physician. Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and ... Annually Completes initial and annual Nursing History and Assessment physical. Ensures ... of an accredited School of..
... 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 Care Manager, Telephonic Nurse 2 - Puerto Rico only in San Juan Puerto Rico Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates ..
Job Information Humana RN Manager, Care Management/HMS (FULLY BILINGUAL English/Spanish) in San Juan Puerto Rico Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care ..
Job Information Humana Care Manager, Telephonic Nurse 2/RN - San Juan, Puerto Rico in San Juan Puerto Rico Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in San Juan Puerto Rico Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews ..
Job Information Humana Manager, Utilization Management RN - Remote in San Juan Puerto Rico Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
Job Information Humana RN Care Manager, Telephonic Nurse (Bilingual) - Puerto Rico in San Juan Puerto Rico Description This is a Work-At-Home position located in Puerto Rico. You must be fully ..