Associate Compliance Program Manager Jobs in District Of Columbia

Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... Humana is seeking a Care Manager, Telephonic Behavioral..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Washington District Of ... District Of Columbia Description The Associate Director, Compliance Nursing reviews utilization management activities ... fraud, waste, and..

Description The Associate Director, Utilization Management Nursing utilizes ... and/or benefit administration determinations. The Associate Director, Utilization Management Nursing requires ... the clinical delivery process. The Associate Director, Utilization Management..

Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..

Full-Time/Regular REGISTERED NURSE - Risk Manager INTRODUCTION The ICE Health Services ... RESPONSIBILITIES 1. Enforce risk management program initiatives, and enact the changes ... and report results to the Compliance..

Job Information Humana HCS Compliance & Risk Management Quality Audit ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit ... be responsible for executing the Compliance Oversight..

... issues to the Senior Clinical Manager and other members of the ... to the appropriate to clinical manager/clinical director. 26. Problems with clients ... reported to the Senior Clinical..

... and actively partner with the Manager of Nursing Quality to elevate ... findings into plans to modify program/service delivery. Collaborate with Departmental leaders ... meeting short and long-term objectives...

Description The Quality Compliance Professional 2 completes annual quality ... reviews and research. The Quality Compliance Professional 2 work assignments are ... of action. Responsibilities The Quality Compliance Professional 2..

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Of Columbia Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..

... goals and plans for new associate orientation, ongoing training, and professional ... Care Management, Utilization Management, and/or Compliance. RN licensure is required at ... approaches to assignments. Required Qualifications..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in ... District Of Columbia Description The Associate Director, Utilization Management Nursing utilizes ... and/or benefit administration determinations. The Associate Director,..

Description CarePlus is seeking a Nursing Educator 2 who will plan, direct, coordinate, evaluate, develop, and/or deliver training and education programs for professional nursing personnel. The Nursing Educator 2 work assignments ..

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 ) ..