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... areas to ensure the success of their market partners by supporting ... providing ongoing guidance and support of the market's quality improvement (QI) ... as main corporate level point..
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... Medicare, requires and in-depth understanding of how organization capabilities interrelate across ... initial peer review on quality of care complaints Participate in National, ... National, Regional and local meetings..
... Senior Primary Care, a subsidiary of Humana Inc., is the new ... senior-focused primary care for members of Medicare Advantage health plans and ... both the treatment and management..
... ABA CPT codes. Our Department of Defense Contract requires U.S. citizenship ... compliance based on the findings of their audits. 10% Assist with ... assigned by Supervisor, Manager and/or..
Job Information Humana Director, Behavioral Health Strategy in Aberdeen ... Aberdeen South Dakota Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral ... the coordination, documentation, and communication of medical services. Enjoy the flexibility ... medical services. Enjoy the flexibility of Work-At-Home,..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Aberdeen South Dakota Description ... South Dakota Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
... the coordination, documentation, and communication of medical services and/or benefit administration ... require interpretation and independent determination of the appropriate courses of action. Responsibilities Location: Work at ... action...
... an experienced and dynamic Associate Director of Accreditation to manage a team ... Accreditation to manage a team of subject matter experts on NCQA ... have a proven track..
... Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... the coordination, documentation and communication of medical services and/or benefit administration ... require interpretation and independent determination..
... to the National Medicaid Quality Director, and be responsible for the ... the development, maintenance, and execution of Humana Healthy Horizon's National Improvement ... Quality, within the Medicaid line..
... the coordination, documentation, and communication of medical services and/or benefit administration ... require interpretation and independent determination of the appropriate courses of action. Responsibilities The Utilization Management ... Required..
... focus is on the well-being of its members, Humana is dedicated ... is dedicated to shifting perceptions of the health insurance industry. We ... our role goes beyond that..