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... service teams (Procurement, Risk Mgt, Compliance, EIP, etc.) and external vendor ... that meet business needs (including clinical audit, code editing, data mining, ... services operations (e.g., Risk, Legal,..
Description The UM Specialist conducts and summarizes compliance audits. The UM Specialist performs varied activities and moderately ... for well-being Responsibilities The UM Specialist/ Compliance Coordinator 2, provides non-clinical support..
... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal, Compliance). o Comfort with data analysis ... other platform o Performing Investigative..
... Wound and Ostomy care. Provide clinical leadership for staff and oversight ... resource person for physicians and clinical staff for wound management and ... based on the patient and..
... Responsibilities Be part of our Clinical Support Team - Humana is ... - Humana is seeking a Clinical Consultant who will be accountable ... results. Humana is seeking a..
... by utilizing multidisciplinary team strategies. COMPLIANCE - Active participation in hospital ... quality improvement and monitoring TJC compliance. Review schedules and panel patients ... a working knowledge of all..
