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Job Information Humana Medicaid Associate Director, Compliance Nursing in Jersey City New Jersey ... New Jersey Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
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..
... 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 The Utilization Management ... Required..
... Summit Avenue,Jersey City,New Jersey,07306,United States of America DaVita is seeking a ... exceptional difference in the lives of our patients and their families ... patients and build a network..
... 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..
... 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..
... 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..
... 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 Nationwide Associate Director, Utilization Management Nursing in Jersey City New Jersey ... New Jersey Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
... 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..
... 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..
Job Information Humana Director, Behavioral Health Strategy in Jersey ... City New Jersey Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
... Operations and Chief Clinical Officer of Kindred at Home, you will ... achieve the mission and vision of the Home Health clinical operations. ... Operations and Chief Clinical Officer..
... 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..
... 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..
... 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..
... 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..
... 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..
... 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..