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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..
Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States Only in Portland Maine Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses..
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..
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..
Genesis HealthCare is a leading provider 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 care..
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..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Portland Maine Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be..
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..
Pine Point Now Hiring Full Time Evening Shift Certified Medicine Aide, Apply Today Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and..
Sign On Bonuses for RN's and LPN's! Full Time: $5,000 Part Time: $2,500 Genesis HealthCare is one of the leading providers of healthcare services from short-term to long-term care and..
Are you looking for a new career? CNA classes being offered! Genesis HealthCare is a leading provider of healthcare services from short-term to long-term care and a wide variety of..
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 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 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..
Are you looking to work with a new team of professionals? Pine Point is hiring FT CNA's! BenefitsTuition AssistanceVariable compensation plansTuition, Travel, and Wireless Service DiscountsHealth, Dental, Vision, Company-paid life..
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..
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..
Are you looking to be a part of a Great team? Sign on Bonus eligible! BenefitsTuition AssistanceVariable compensation plansTuition, Travel, and Wireless Service DiscountsHealth, Dental, Vision, Company-paid life insurance, 401K,..
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. Responsibilities The hours are Monday to..
Pine Point Center Now Hiring Full Time, Part Time and Per Diem Day and Evening Shift RNs! Ask about our Weekend Warrior Positions. Genesis HealthCare is one of the leading..
Accountable Healthcare is seeking experienced local or travel RNs for Correctional Nursing positions in Maine!! 12 hour DAY shift available! Give us a call today at 844-573-1028 ! Acute care..
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,..
BenefitsNursing Student Loan Debt Repayment and Tuition AssistanceVariable compensation plansHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffTuition, Travel, and Wireless Service DiscountsEmployee Assistance Program to support mental healthEmployee..