- Humana (Montgomery, AL)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
- Humana (Montgomery, AL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CVS Health (Montgomery, AL)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- CenterWell (Montgomery, AL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no disciplinary action and ability...volume and fast paced environment + Previous experience in utilization management + Education: BSN or bachelor's… more
- Evolent (Montgomery, AL)
- …Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the continuum… more
- Community Health Systems (Birmingham, AL)
- Join us as a **Registered Nurse (RN) Case Manager - Case Management , Full-time Days, Grandview Medical Center** + **Unit:** Case Management + **Shift:** ... health, or nursing home setting required + 2-4 years of care management experience preferred **Knowledge, Skills and Abilities** + Strong understanding of case … more
- Evolent (Montgomery, AL)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management ...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
- Aveanna Healthcare (Pell City, AL)
- Hospice Registered Nurse RN Full Time ApplyRefer a FriendBack Job Details Requisition #: 212393 Location: Pell City, AL 35128 Category: Nursing Salary: $31.00 - ... hour Position Details Position Overview: TheHospice Registered Nurseis responsible for pain management , symptom control in the delivery of care to hospice patients,… more
- Fresenius Medical Center (Opelika, AL)
- …and acting on adverse events and action thresholds. + Oversees facility's Home Therapies Program if applicable. + Accountable for compliance with all applicable ... and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely… more
- Fresenius Medical Center (Bessemer, AL)
- …Quality, and Technical Services departments. + Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies ... Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. +… more
Recent Jobs
-
Senior Director, Head of Account Management - IQVIA Digital
- IQVIA (Wayne, PA)
-
Sr. Product Manager - Technical - Accumulation Conveyance, 1MHS - Field Fixed
- Amazon (Bellevue, WA)
-
Hardware Engineer
- Oracle (Nashville, TN)
-
Cleaner - 00261(Ccs004) - Up to 19 Hours Weekly - Flexible
- WellLife Network (Coram, NY)