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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 ..
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 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 ..
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 ..
... Graduate of an accredited professional nursing education program Registered nurse license ... from the Texas Board of Nursing (Preferred) Licensed vocational nurse (LVN) ... from the Texas Board of..
Job Information Humana RN Case Manager / Care Coach - San Antonio, TX in San Antonio Texas Description At Conviva Care Solutions, we want to inspire people to live life their ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
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, Inc., ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
District: Castleberry ISD School Name: Irma Marsh Middle School & A.V. Cato Elementary City, State: Fort Worth County: Tarrant Region: Region 11 Category: Campus Title: Nurse - RN Salary: Teacher Pay ..
District: Castleberry ISD School Name: A.V. Cato Elementary School City, State: Fort Worth County: Tarrant Region: Region 11 Category: Campus Title: AVC Nurse-RN Salary: Teacher Pay Scale Deadline: Open until filled. ..
Description The 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 Behavioral ..
Description The Caregiver 3, RN provides patients with assistance in activities in daily living. The Caregiver 3, RN performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply ..
District: International Leadership of Texas School Name: Garland K8 City, State: Garland, TX County: Dallas Region: Region 10 Category: Campus Title: Nurse Assistant Salary: $26,000-$31,000 per year Deadline: Open until filled. ..
Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied ..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
