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Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied ..
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... leadership Required to become CCM certified within 2 years of date ... of hire Required Qualifications Registered Nurse in an eNLC state Required ... state Required to become CCM..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC state required in Fargo North Dakota Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates ..
... Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic..
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. Responsibilities ..
... Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... Intern - Care Manager, Registered Nurse, RN, will utilize Humana's Florida ... action. The Care Manager, Telephonic..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
Job Information Humana Nurse Advice Line Telephonic Nurse - Remote- RN Compact License ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager,..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from ... The NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about Humana ... and work independently. Responsibilities..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly jump ..
Description Full-Time Remote, Telephonic RN opportunity. Humana Care Support is a division of Humana that is dedicated to helping adults remain independent in their homes. Our nurses are titled Care Managers, ..
... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... Responsibilities The Care Manager, Telephonic..
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 Nurse ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Fargo North Dakota Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..
Description The Nurse Auditor 2 performs clinical audit/validation ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are ... courses of action. Responsibilities The Nurse Auditor 2 validates..
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 ..
... Behavioral Health Care Manager, Telephonic Nurse, in a telephonic environment, assesses ... members. The Care Manager, Telephonic Nurse work assignments are varied and ... Behavioral Health Care Manager, Telephonic..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Fargo North Dakota Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..
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 abuse. ..
