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... Humana Medicaid Associate Director, Compliance Nursing in Dover Delaware Description The ... Description The Associate Director, Compliance Nursing reviews utilization management activities and ... abuse. The Associate Director, Compliance..
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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 ..
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 Registered Nurse (ER RN) Details: $2,520 weekly gross- W2 Experienced ER Nurses Needed! Contract Length: 13 Weeks Shift: 7a-7p and 7p-7a Start: ASAP Local or Travel RNs Emergency Room Registered ..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly jump ..
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 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 2 work assignments are ..
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 ..
Description RN needed for CCU, CVICU, ICU and Stepdown/Tele for this Level 1 Trauma Center. DAYS OR NIGHTS The Registered Nurse with ICU experience is a professional care-giver who, as a ..
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The ..
Description RN's needed for this Level 1 Trauma Center. DAYS Gross Weekly Pay for 36 hours: $3,600 RN (Cath Lab) RN( VIR) RN HVIS Prep and Hold Education: Graduate of NLN ..
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 ..
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 ..
... of an accredited school of Nursing (R.N.) Must be registered and ... Minimum of 9 months of nursing experience, plus 3 months of ... of specialized experience providing clinical..
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 Registered Nurse (PACU RN) Details: Shift info: Monday thru Friday, 8am to 4:30pm $2,800weekly gross- W2 Experienced PACU or PeriOpNurses Needed! Contract Length: 13 Weeks Start: ASAP Local or Travel ..
