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Description The Manager, 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 Manager, Pre-Authorization ..
Job ID 21000M35Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
The Department of Medicine has an exciting opportunity for a Full-Time Practice Manager to work on the UHealth Campus. The Practice Manager provides administrative direction and coordination to the formulation, interpretation, ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services, discharges and/or benefit administration determinations. The Utilization Management Nurse 2 work ..
Description The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate ..
... Humana Telephonic Behavioral Health Care Manager in Miami Florida Description The ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..
Description The Activity Coordination Assistant 1 ensures the day-to-day operations of the Wellness Center meets participant needs. The Activity Coordination Assistant 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine ..
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 Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly owned subsidiary of Humana, ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied ... Responsibilities The Intern - Care Manager, Registered Nurse, RN, will utilize ... courses of action. The Care Manager,..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... of action. Responsibilities The Care Manager, Telephonic Nurse..
The Customer Service Rep - Facilities Operations Control serves as a liaison to faculty, staff, and facility managers to ensure the safety of facility occupants and guarantee the smooth operations of ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description EliteHealth is committed to bringing high quality healthcare in the Florida Market and is proud to be a part of the largest Senior Primary Care Organization in the country. We ..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... to 7:00pm. Responsibilities The Care Manager, Telephonic Nurse..
