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Job Information Humana Medicaid Associate Director, Compliance Nursing in Montpelier Vermont Description The ... Montpelier Vermont Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
... 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..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... the coordination, documentation and communication of medical services and/or benefit administration ... benefit administration..
... Genesis is a leading provider of post-acute healthcare services from short-term ... care and a wide variety of living options and professional clinical ... difference.Join Genesis as a Unit..
... the coordination, documentation, and communication of medical services. Enjoy the flexibility ... medical services. Enjoy the flexibility of Work-At-Home, from anywhere in the ... at least three (3) years..
... delivery process. The National Medicaid Director of Clinical Strategy and Practice builds ... community within the enterprise. The Director of Clinical Strategy has direct responsibility ... and services utilized..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Montpelier Vermont Description The ... Montpelier Vermont Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
... 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..
... 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..
... Liaison works on a team of Clinical Managers & Clinical Liaisons ... well as the efficient use of clinical resources. She/he is accountable ... contribute to the overall success..
... 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..
... 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..
... client located in the state of Vermont is looking for a ... looking for a permanent RN Director overseeing Emergency Services. Department sees ... is setting up interviews now!Responsibilities..
Job Information Humana Director, Behavioral Health Strategy in Montpelier ... in Montpelier Vermont Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
... 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..
... 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 ... clinical..
... 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 ... require..
... assist with questions and mentoring of clinical staff Reviews and resolves ... other CarePlus departments Leads implementation of process improvement initiatives based on ... Completes medical necessity and level..
... 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 ... clinical..
... 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..