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... and maintain significant relationships with Nursing leaders and other HCP staff ... and regularly communicate with Associate Director-CNC, field-based sales colleagues and District ... Education/Credentials Required: Bachelor's Degree in..
u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
Admin / Clerical (188) Advanced Practice Registered Nurses / Physician Assistants (339) Allied Health (3185) Executive (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship (0) Full Time ..
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..
Allied Health (1) Executive (86) General Nursing (2343) Nursing Support (173) Operations (315) Quality/Risk Management (23) Type Contract (0) Fellowship (0) Full Time (434) Locum Tenens (0) Part Time (13) Partnership ..
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 ..
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 ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Portland Maine Description The ... Portland Maine Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
... in the delivery of primary nursing care for patients with CKD.Supervises ... data and consult with physicians Nursing assessment. Provide Dialysis therapy including ... to supervisor, medical and operations..
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 ..
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 ..
Assists the Health Services Director in evaluating, managing and delivering resident care. May supervise Health Services staff...
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 ..
Job Information Centerwell Care Transition Liaison, Home Health Full Time in Portland Maine The Care Transition Liaison manages an assigned, limited number of key facility and/or physician accounts providing ongoing information ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Portland Maine Description The ... Portland Maine Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
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 ..
... 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..
... of the resident, following the nursing process and in accordance with ... as an integral part of nursing practice. Coordinates resident care activities ... care team, and supervises the..
... Health (1) Executive (81) General Nursing (2227) Nursing Support (132) Operations (316) Quality/Risk ... Group Brownsville, Texas NEW! NEW! Director of Nursing Excellence and Magnet Designation - ... Excellence..