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Compliance Specialist The candidate will supports ... maintaining an effective and comprehensive compliance monitoring program. Will conducts and ... level of competency related to compliance with State and Federal laws..
... in process consulting to support compliance within the Healthcare Services (HCS) ... (HCS) organization. As a HCS Compliance & Risk Management Professional, you ... effectiveness and efficiency of Medicare/Medicaid..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..
Job Information Kindred at Home Director of Clinical Operations, Area Level Support in Phoenix Arizona As a Director of Clinical Operations , you will: Participate in/encourage quality assessment and improvement activities. ..
Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..
Job Information Humana Senior Market Development Professional-RN-WAH Nationwide in Phoenix Arizona Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, ..
OverviewThe primary purpose of the position is the management and administration of all aspects of rehabilitation services for the respective communities as well as for maintaining a clinical caseload.The Rehabilitation Program ..
Description The Director of Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health ..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
Description The Compliance Lead (SNP) ensures compliance with governmental requirements. The Compliance Lead works on problems of ... moderate to substantial. Responsibilities The Compliance Lead (SNP) develops and implements .....
Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior Health 2) will audit CPT (Current Procedural Terminology) codes to ensure correct billing under TOM (TRICARE Operations Manual) policies in accordance ..
... Information Humana Medicaid Associate Director, Compliance Nursing in Phoenix Arizona Description ... Arizona Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
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..
Posted: 01-Mar-22 Location: Queen Creek, Arizona Salary: Open Categories: Nursing Support Internal Number: R62583 Primary City/State: Queen Creek, Arizona Department Name: M/S-5th Floor-Hosp Work Shift: Night Job Category: Clinical Care Nursing ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... factors. Responsibilities Seeking Senior LVN/RN..
