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Description The RN, 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 RN ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Palm Coast Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor ..
Job ID 21000LJWAvailable Openings 1 PURPOSE AND SCOPE: Ensure the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company policy. Provides direct ..
Description RN Employee Health Workers Compensation Coordinator AdventHealth Palm Coast Location Address: 60 Memorial Medical Parkway Palm Coast, Florida 32164 Top Reasons to Work at AdventHealth Palm Coast Great benefits Career ..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
... 22007956 Description Office Licensed Practical Nurse LPN Pediatrics Location Address: 61 ... direction of the physician and/or nurse manager. Escorts patients from waiting area ... months. Job Summary: The..
Job Information Humana Care Coach 1 - St Augustine/Palm Coast - FL in Saint Augustine Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or ..
Description The Care Coach 1 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 for 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 The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... Responsibilities The Intern - Care Manager, Registered Nurse, RN, will utilize Humana's training ... courses of..
... Internal Number: 22007838 Description Registered Nurse Ambulatory Surgery AdventHealth Palm Coast ... proficiency. Job Summary: The Registered Nurse is responsible for the delivery ... the related clinical activities. The..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
... Internal Number: 21037816 Description Registered Nurse Progressive Care Unit AdventHealth Palm ... certifications Job Summary: The Registered Nurse is responsible for the delivery ... the related clinical activities. The..
... Internal Number: 22007828 Description Registered Nurse Ambulatory Surgery AdventHealth Palm Coast ... proficiency. Job Summary: The Registered Nurse is responsible for the delivery ... the related clinical activities. The..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Job Information Humana Nurse Auditor 2-Remote/Virtual in US in ... Saint Augustine Florida Description The Nurse Auditor 2 performs clinical audit/validation ... to support optimal reimbursement. The Nurse Auditor 2..
... Internal Number: 22007925 Description Registered Nurse AdventHealth Location Address: Registered Nurse AdventHealth Palm Coast Location Address: ... Will Need: Current Florida Registered Nurse license required or if new .....
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
