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6 fresh jobs found
Associate Director, UM Nursing
Remote US, United States Humana logo Humana
Interpreting Criteria Clinical Nursing Medical Services Prior authorization Registered Nurse Clinical knowledge Utilization management Authorization RN +45
Mid Full Time
USD 115K+
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Utilization Management Nurse
Work at Home - Florida, United States Humana logo Humana
CGX Interpreting Criteria MCG Clinical Nursing Medical Services Registered Nurse Clinical knowledge Utilization management BI +38
Mid Full Time
USD 71K+
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Utilization Management Nurse (Gulf South Region)
Work at Home - Louisiana, United States Humana logo Humana
Milliman Interpreting Criteria Health Plan Experience MCG Clinical Nursing Medical Services Acute care Consumer Experiences Discharge planning +46
Mid Full Time
USD 71K+
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Post-Acute Utilization Management Nurse (Gulf South Region)
Work at Home - Tennessee, United States Humana logo Humana
Interpreting Criteria Rehab Health Plan Experience CMS guidelines Clinical Nursing Medical Services Consumer Experiences Discharge planning CMS +41
Mid Full Time
USD 71K+
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Utilization Management Review Nurse
Remote US, United States Humana logo Humana
Interpreting Criteria Health Plan Experience Clinical Nursing Rehabilitation Medical Services Health outcomes Acute care Consumer Experiences Registered Nurse +46
Mid Full Time
USD 71K+
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Utilization Management Behavioral Health Professional
HGB SCA Remote KY, United States Humana logo Humana
Autism spectrum disorder Interpreting Criteria Tricare Applied Behavioral Analysis Medical Services CPT codes Prevention Productivity Process Management +48
Mid Full Time
USD 65K+
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