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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 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 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..
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...
PURPOSE AND SCOPE:Supports the training and education of employees based in company facilities and programs within an assigned geographical area. Delivers standardized, competency based, training and development programs including new..
St Joseph's is hiring for a part time RN Supervisor!! Genesis is a leading provider of healthcare services from short-term to long-term care and a wide variety of living options..
Description LOOKING FOR Registered Nurses with IV Certification!! SeniorBridge is hiring RN's with IV certification with a strong desire to help families and their loved ones. We need applicants that..
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the..
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..
Full-Time Nursing Faculty: First Professional Degree Program(BSN) Davis & Henley College of Nursing Category: Faculty Subscribe: Department: College of Nursing [CON] Locations: Fairfield, CT Posted: May 17, 2023 Closes: Open..
Join the Madison House Team as a Full-Time Infection Preventist! (32 hours weekly) Genesis HealthCare is the nation's leading provider of healthcare services from short-term to long-term care and a..
PER-DIEM C.N.A. POSITION AVAILABLE AT THE WILLOWS IN WOODBRIDGE, CT BenefitsTuition AssistanceVariable compensation plansTuition, Travel, and Wireless Service DiscountsHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffEmployee Assistance Program..
BenefitsIncentive compensation planNursing Student Loan Debt Repayment and Tuition AssistanceHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffDiverse, Equitable and Inclusive (DEI) workplace with DEI committee. DEI is a..
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 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..
St Joseph's is now hiring for Per Diem RN Supervisors! Genesis is a leading provider of post-acute healthcare services from short-term to long-term care and a wide variety of living..
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..
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,..
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 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..
Join the Arden House as a Full time CNA! All Shifts available! BenefitsTuition AssistanceVariable compensation plansTuition, Travel, and Wireless Service DiscountsHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffEmployee..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Bridgeport Connecticut Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be..
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..