• Senior Utilization Review Consultant (O-5 Billet)…

    Immigration and Customs Enforcement (IN)
    …stakeholders (eg, Customs and Border Patrol, Veterans Affairs) regarding utilization management ( UM ) processes, trainings, and principles to ensure inpatient ... management [e.g., MCG Care Guideline Specialist, Certified Professional Medical Auditor (CPMA), or Certified Inpatient Coder (CIC)] or must obtain… more
    Immigration and Customs Enforcement (05/04/24)
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  • Compliance Utilization Management RN

    Humana (Indianapolis, IN)
    …our caring community and help us put health first** The Compliance Utilization Management Nurse 2 reviews utilization management activities and documentation ... on a rotating schedule. (about 2 holidays per year) The Compliance Utilization Management Nurse 2 ensures mandatory reporting completed. Conducts and summarizes… more
    Humana (05/14/24)
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  • RN - Weekend Utilization Management

    Humana (Indianapolis, IN)
    …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills...assist with social determinants and closing gaps + Review UM inpatient admission and clinical information to determine appropriate… more
    Humana (05/14/24)
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