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Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The..
Description The Weekend Telephonic 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..
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..
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..
Description The 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 Compliance..
POSITION FEATURES: *No Sundays, e/o Saturday, limited late shifts (outpatient only) *Tuition reimbursement *Clinical Advancement Program (CAP)- gain knowledge/increase pay *Growth opportunity including geographic movement and niche disciplines *Full benefits..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement...
Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that..
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..
POSITION FEATURES:Full Time - Rotating Shift - 4 days per week Clinic 4:30am - 10:30pm - 6 days a weekPURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that..
POSITION FEATURES:Willing to train - Fresenius Offers paid and structured training!No overnight, Sunday or On-call shiftsMajor Holiday, such as Thanksgiving and Christmas, offBenefits start after just 30 days of employment!Voted..
POSITION FEATURES:*12 weeks of PAID training, no experience required*Competitive pay*Pay increase when certified (required within 18 months)*No Sundays, e/o Saturday*Tuition reimbursementDescriptionProvide your personal attention and kindness, professional insight, and a..
About this job Find your commute At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the..
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,..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Dover Delaware Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be..
Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States Only in Dover Delaware Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses..
Two licensed medical staff live at camp each week. Licensed Medical Staff are typically parents of campers that work one or two weeks of the summer. Applicants interested for the..
Description The Senior Market Consultation/Partnership Professional promotes and improves the quality and measurement of care delivery programs with a market(s). The Senior Market Consultation/Partnership Professional work assignments involve moderately complex..
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..
Currently seeking a DAY shift Patient Flow supervisor in our Cardiac Intensive Care Unit. This position is responsible for: Providing leadership in the Cardiac Intensive Care Unit and the 2B/Telemetry..
