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Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization ..
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 ..
... Care policy, procedures, standards of nursing practice, state and federal regulations. ... outcomes, documents and updates the nursing assessment and plan of care ... of an accredited School of..
... evaluates and provides behavioral health nursing care to assigned patients utilizing ... to assigned patients utilizing the nursing process to facilitate the patient’s ... plan of care by providing..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Job Description & RequirementsCertified Registered Nurse Anesthetist (CRNA) - StartDate: ASAP Available Shifts: Day 8;10 Pay Rate: $146.00 - 158.00This facility is seeking a Certified Registered Nurse Anesthetist (CRNA) Physician for ..
**Company :**Allegheny Health Network**Job Description :**GENERAL OVERVIEW:The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered ..
... plans, implements, evaluates and provides nursing care to assigned patients utilizing ... to assigned patients utilizing the nursing process to facilitate the patient’s ... plan of care by providing..
Job Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management in Pittsburgh Pennsylvania Description Humana Healthy Horizons in Ohio is seeking a Utilization and Case Management Clinical Auditors. This ..
Job Information Humana Pre-Authorization Registered Nurse, RN, 1 in Pittsburgh Pennsylvania Description The Pre-Authorization Nurse 1 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves ..
Job Information Humana Utilization Management Registered Nurse - Remote in Pittsburgh Pennsylvania Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care Manager, ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Pittsburgh Pennsylvania Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..
Job Information Humana Senior Compliance Registered Nurse in Pittsburgh Pennsylvania Description Humana Healthy Horizons in Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory reporting for Case Management 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 for Humana's Kentucky Medicaid Plan. The Utilization ..
RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..
... leverage a broad range of nursing skills and knowledge. * Oversee ... practice; * Associates Degree in Nursing (A.D.N) from accredited school of ... (A.D.N) from accredited school of..
https://www.co.westmoreland.pa.us/Jobs.aspx?UniqueId=108&CommunityJobs=False&JobID=SelfScheduling-Registered-Charge-Nurse-W-2223 Tue, 26 Oct 2021 10:14:36 -0500 Westmoreland Manor excited to announce our new “Self-Scheduling” program! We are looking for motivated, energetic individuals to join our team as Registered Nurses! As ..
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 ..
...so you can focus on doing what you do best-caring for people. ShiftKey enables you to bid on per diem CNA, LPN/LVN, RN and other shifts posted by our vast network ..
Job Information Humana Utilization Management Registered Nurse, RN 2 in Pittsburgh Pennsylvania Description The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical knowledge ..