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Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Charleston West Virginia Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with ..
Job Information Humana Telephonic Care Manager in Charleston West Virginia Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for ..
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 ..
Description The Compliance Nurse 2 reviews utilization management activities ... waste, and abuse. The Compliance Nurse 2 work assignments are varied ... courses of action. The Compliance Nurse 2 will..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... Join Us! The Utilization Management Nurse 2..
... Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and ... waste, and abuse. The Compliance Nurse work assignments are varied and ... and overtime. Responsibilities The Compliance..
Job Information Humana Home Health Registered Nurse in South Charleston West Virginia Description Responsibilities As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for ... without direction. Responsibilities Senior Pre-Authorization Nurse: Serves as a team lead ... of varied nursing experience Registered Nurse -..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls ... The NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about ... and work independently. Responsibilities The Nurse..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Charleston West Virginia Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..
Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager,..
Start Date: 4/6/23 DISRUPTING THE TYPICAL AGENCY MODEL Managed by an experienced team of Healthcare Staffing Pioneers, Accountable thinks a little differently from the normal staffing structure out there. Our team ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
... 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 Please note that this role requires you to work 4 days a week (including Saturday and Sunday), 10 hours a day, from your home office. If you cannot accommodate this ..
Job Information Humana Home Health LPN/LVN in South Charleston West Virginia Description Responsibilities The Home Health Nursing, LPN/LVN enables patients to stay in their homes by providing health and personal services; ..
... Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... Intern - Care Manager, Registered Nurse, RN, will utilize Humana's training ... action. The Care Manager, Telephonic..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
Description The Senior Market Consultation/Partnership Professional promotes and improves the quality and measurement of care delivery programs with a market(s). The Senior Market Consultation/Partnership Professional work assignments involve moderately complex to ..
... 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..