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Description The Director, Health Services utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... function or segment. Responsibilities..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... benefit administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding of..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Pittsburgh Pennsylvania Description The ... Pittsburgh Pennsylvania Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Job Information Humana RN Telephonic Transplant Care Manager-WAH in Pittsburgh Pennsylvania Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to ..
We have an immediate opportunity for Nurse Practitioner. General Summary: Through collaboration with a East End Behavioral Health Hospital staff physician, supervised by the CEO of Behavioral Health, and in conjunction ..
... the Chief Medical Officer (CMO)/Medical Director to review PA requests. The ... medical equipment, outpatient therapies, skilled nursing facility therapies, and all outpatient ... for forwarding to the CMO/Medical..
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 ..
Reference #: R0283246 1 Kensington Square,New Kensington,Pennsylvania,15068,United States of America DaVita is seeking a Patient Care Technician who is looking to give life in an outpatient dialysis center. You can make ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
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 flexibility ..
... evaluate performance of mental health, nursing and clerical personnel. Final approvals ... hiring must be received from Director of Human Resources prior to ... physician assistants, nurse practitioners and..
... leverage a broad range of nursing skills and knowledge. * Oversee ... least 18 months of registered nursing experience * Dialysis Charge RN ... preferred * Associates Degree in..
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 on ..
... per week General Summary: The Nursing Supervisor assists in the organization, ... development, management and administration of nursing service activities. Assists in managing ... in the absence of the..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Pittsburgh Pennsylvania Description The ... Pittsburgh Pennsylvania Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... operations. You will develop the nursing and clinical department goals, objectives, ... and implementing the Standards of Nursing Practice and the clinical operations ... of experience at a senior..
Specialty: Travel RN-DialysisJob Description The nephrology nurse is responsible for the care of pediatric and adult patients withkidney disease. The dialysis setting may be involved in the delivery of primary nursing ..
... treatments in collaboration with the Director. Plans, coordinates and acts as ... policies, and confers with the Director and Human Resources regarding the ... Staff By-Laws. Responsible for strong..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
