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Job Information Humana Medicaid Associate Director, Compliance Nursing in Washington District Of Columbia Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, ..
... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care Manager will assist beneficiaries as they ... Military TRICARE - PDC Care..
... Continuity of Care, Hepatitis C Nurse Advocates and Anemia Case Management ... programs which require the case manager to meet the patient, the ... management is preferred. Certified Case..
Description The Case Manager Hybrid I/II will provide case management services to patients and their families or caregivers. Assist with assessment, participate in planning and implementation of intervention and ensure follow-up ..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Posted: 28-Feb-22 Location: Washington, D.C. Salary: Open Categories: General Nursing Internal Number: 108238 Responsibilities Job Summary (Part Time / Every Other Weekend - No DC license required till August 2022) The ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... is seeking a Telephonic..
HSCPC Case Manager (PRN) Day (8:30a to 5:00p ... HSC Pediatric Center (HSCPC) Case Manager oversees patients' progression through the ... referral/admission through discharge. The Case Manager actively coordinates the..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Washington District Of Columbia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation ..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... is seeking a Telephonic..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Washington District ... Of Columbia Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... wellbeing of..
Description The Director, Health Services Nursing serves as the strategic leader for Humana Behavioral Health Utilization Management Inpatient services - including all clinical (inpatient and some OP medical necessity oversight ) ..
Picture this: your leadership shaping the earliest moments of life and setting the trajectory for a future generation. This isnt just any job, its an opportunity to make a monumental difference. ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about ... and work independently. Responsibilities..
... courses of action. Responsibilities The Nurse Case Management Process Advisor will ... in Bethesda, MD . The nurse will support the eMSM with ... 10% Provide feedback to Regional..
Posted: 02-Mar-22 Location: Washington, D.C. Salary: Open Categories: General Nursing Internal Number: 129192 Responsibilities The George Washington University Hospital (GW Hospital) is a 395-bed tertiary care, academic medical center located in ..
... a highly skilled and experienced nurse with a passion for surgical ... team as the Surgery Center Nurse Manager. This 300 bed acute care ... for their nursing excellence.As..
Job Information Humana Manager, Utilization Management RN - Remote ... District Of Columbia Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Washington District Of Columbia Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and ..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in ... Of Columbia Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... wellbeing of members...
Description All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children's National Policies and Procedures, and in accordance with all applicable laws and regulations. ..