- Humana (Little Rock, AR)
- …documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Humana (Little Rock, AR)
- …ad hoc reports in Access and/or SQL + Graduate degree + Utilization Management Review Experience + Registered Nurse (RN) Credentials + Home Health, Durable ... caring community and help us put health first** The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 … more
- Prime Therapeutics (Little Rock, AR)
- …company achieving revenue goals and operational objectives. Responsible for executing utilization management programs on behalf of health plan/payor customers, ... clinical reviewer. + Practices and maintains the principles of utilization management by adhering to the company...cardholders, and pharmacies. + Escalates medical exception requests to nurse , pharmacist or physician on the utilization … more
- Catholic Health Initiatives (Little Rock, AR)
- …ACM Certification within 2 years of hire date + Previous case management , utilization management , or discharge planning experience strongly preferred ... **Overview** As a Case Manager Nurse with CHI St Vincent Infirmary, you'll work...creative thinking is vital to your success in case management . It shines as you develop enhanced discharge plans… more