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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 Newport Rhode Island Description ... Rhode Island Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
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 ..
... in humanities, international relations and nursing. Enrollment includes more than 2,600 ... responsibilities as assigned by the Director of Health Services.nENVIRONMENTAL CONDITIONS:nThe employee ... communities.nnREQUIRED QUALIFICATIONS:nEducation: Master's degree in..
Job Description The Licensed Vocational Nurse (LVN)/ Licensed Practical Nurse (LPN) in expanded scope clinics is an integral part of the clinic team inside of MinuteClinic. Under the supervision of a ..
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 ..
... the overall operations for the nursing center starting a 5 PM ... turn over responsibility to the Director of Nursing at 7a Monday. The employee ... hours per day..
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 ..
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 ..
... Join Genesis as a Unit Manager/Director - RN where within an ... unit you will support the Director of Nursing with the delivery of high ... operations, coordination and..
... 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 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 ..
Early Intervention Clinical Supervisor/Team Leader (Full Time) Location: Woonsocket, RI POSITION SUMMARY: Promote and implement high standards of family-centered practice and service provision within the Early Intervention Program. Communicates effectively in ..
CCBHC Mobile Crisis RN (Full Time) Location: Woonsocket, RI Community Care Alliance is seeking a Registered Nurse to be a part of our evolving 24/7 crisis team in the Northern RI ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Newport Rhode Island Description ... Rhode Island Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
Description Humana has articulated a long-term vision to transform from a health insurance company to a health services company distinguished by the prioritization of the health outcomes of our members. By ..
... make a difference.Advance in your nursing career to a leadership role ... with Genesis by joining our nursing team as an RN Supervisor! ... shift, you will support the..
