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Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... ensure that medical record documentation and diagnosis coding for services rendered ... services rendered is complete, compliant..
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... annual program description, work plan, and annual evaluation. The Associate Director, ... in alignment with organizational quality and population health goals and ensuring compliance with all contract, ... compliance..
... annual program description, work plan, and annual evaluation. The Director, Quality ... in alignment with organizational quality and population health goals and ensuring compliance with all contract, ... compliance..
... Care Manager, Licensed Behavioral Health Professional or Registered Nurse in Cincinnati ... Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses ... (Care Manager, Behavioral Health) assesses..
... Information Humana Licensed Behavioral Health Professional - Quality Audit in Cincinnati ... Licensed Behavioral Health Quality Audit Professional. This position ensures mandatory reporting is completed. Conducts and summarizes compliance..
... Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses ... (Care Manager, Behavioral Health) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness..
Description The Clinical Pharmacy Lead for Pharmacy trend ... interactive team with broad exposure and scope within Humana. Humana is ... Humana is seeking a positive and proactive individual to..
... Humana RN, Senior Stars Improvement, Clinical Professional in Cincinnati Ohio Description Humana ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible for ... responsible for the..
Job Information Humana Fraud and Waste Investigator - Work At ... enjoy speaking with members, providers, and other industry colleagues? Do you ... you thrive on solving problems and thinking..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Cincinnati Ohio ... enjoy speaking with members, providers, and other industry colleagues? Do you ... you thrive on..
... health care company with deep and multi-faceted physician and provider relationships, the Office of ... domains: (1) seeking/gathering physician/clinician perspectives, (2) collaborating with business leaders to ... physician/clinician voice..
... Information Humana Senior Process Improvement Professional - Remote OH, IN, KY in Cincinnati ... Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ... effectiveness..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to ... ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste,..
... Information Humana Quality Compliance Nurse Professional 2 - Louisville, KY in Cincinnati ... Description The Quality Compliance Nurse Professional 2 uses quality improvement methodology to ... quality improvement methodology..
... than 47,000 students, 10,500 faculty and staff and 330,000 alumni, UC combines a ... a dynamic academic health center and entry into the Big 12 ... annual budget tops..
Description The Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also..
... interactive team with broad exposure and scope within Humana. Humana is ... Humana is seeking a positive and proactive individual to contribute to ... performing team that drives innovation..
Description The Data and Reporting Professional II generates ad hoc reports ... II generates ad hoc reports and regular datasets or report information ... for end-users using system tools and..
