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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. The ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description Humana Healthy Horizons is seeking a Pre-Authorization Nurse 1 who will review prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forwards requests ..
Job Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother Baby (Ohio Medicaid) in Lima Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager ..
Job Information Humana Care Manager, Registered Nurse, RN in Lima Ohio Description Humana Healthy Horizons in Ohio is seeking a Field Care Manager to assess and evaluate member's needs and requirements ..
At National Staffing Solutions, we have the privilege and honor of working with dedicated healthcare professionals that make a positive impact in aiding those needing healthcare services across the U.S. every ..
... is seekign a Utilization Management Nurse 2 who utilizes clinical nursing ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... Company! Responsibilities The Utilization Management..
Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Lima Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, ..
Job Information Humana Manager, Care Management(Behavioral Health) - Ohio Medicaid in Lima Ohio Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management who will lead our behavioral health ..
Job DescriptionnLicensed Practical Nurse(LPN) / Travel / TelemetrynLicensed Practical Nurse TelemetrynType: Licensed Practical Nurse (LPN) nLima, OHnMAS Medical Staffing ... Staffing is currently seeking a(n) Licensed Practical Nurse (LPN) professional..
Job Information Humana Care Manager, Registered Nurse, RN - Maternity, L&D, Mother Baby in Lima Ohio Description The Field Care Manager assesses and evaluates member's needs and requirements to achieve and/or ..
Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management (Physical Health & Behavioral Health) who will lead our physical or behavioral health care management operations and staff to ..
Description The Senior Quality Compliance Nurse Professional is an integral part of the Ohio Quality Improvement Department. This role will collaborate with internal and external customers to complete fast-paced and time ..
