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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 ..
... restore patients' health through direct nursing care to assigned patients within ... to assigned patients within the nursing process; collaborate with physicians and ... research into specialized areas of..
... direct patient care utilizing the nursing process in the ambulatory setting ... setting under direction of the Director and Executive Director of Ambulatory Clinics and the ... Ambulatory Clinics..
... the next level as a Director of Nursing in Training at Genesis, where ... and evaluate the quality of nursing services provided to patients/residents will ... challenges and by..
Description The Compliance Nurse 2 reviews medical management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
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 ..
Nursing House Supervisor - PT 0.5 ... and resources. Actively participate in nursing strategic initiatives such as quality ... in conjunction with the unit director or designee with the plan..
RN Utilization Review - PRN 0.3 Department: Case Management Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope The Utilization Review Nurse performs utilization review of all patients presenting ..
... nation's largest providers of skilled nursing and rehabilitation therapy - , ... holistic care of sub-acute, skilled nursing and long-term stay patients. Quality ... you will work with skilled..
... Mexico Salary: Open Categories: General Nursing Internal Number: 15816163 Position Summary: ... in conjunction with Unit Medical Director. Ensure adherence to Hospitals and ... Plan safe, economical and efficient..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Albuquerque New Mexico Description ... New Mexico Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
... 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..
Nursing House Supervisor - PRN Department: ... and resources. Actively participate in nursing strategic initiatives such as quality ... in conjunction with the unit director or designee with the plan..
... under the direction of the Director of Nursing or RN designee, the LPN ... educator and facilitator for all nursing staff focusing on the following ... and department specific..
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 Medicaid Associate Director, Compliance Nursing in Albuquerque New Mexico Description ... New Mexico Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
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 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, ..
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 ..
