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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works..
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 The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the..
Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management (Physical Health & Behavioral Health) who will lead our physical or behavioral health care management operations and staff..
Immediate placement opportunities for HHAs, CNAs, STNAs, & Homemakers in the following areas: Dayton,Beavercreek, Xenia, and Fairborn! Here are some of the benefits of working for Right at Home: Flexible..
Job Information Humana Care Manager, Registered Nurse, RN in Springfield Ohio Description Humana Healthy Horizons in Ohio is seeking a Field Care Manager to assess and evaluate member's needs and..
Description Humana Healthy Horizons is seekign a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations...
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Job Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother Baby (Ohio Medicaid) in Springfield Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care..
Description Humana Healthy Horizons is seeking a Pre-Authorization Nurse 1 who will review prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forwards..
Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Springfield Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity,..
Job Information Humana Manager, Care Management(Behavioral Health) - Ohio Medicaid in Springfield Ohio Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management who will lead our behavioral..
Job Information Humana Care Manager, Registered Nurse, RN - Maternity, L&D, Mother Baby in Springfield Ohio Description The Field Care Manager assesses and evaluates member's needs and requirements to achieve..
Description The Senior Quality Compliance Nurse Professional is an integral part of the Ohio Quality Improvement Department. This role will collaborate with internal and external customers to complete fast-paced and..
