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... philosophy. Adhere to the FMCNA Compliance Program, including following all regulatory ... and direction of the Clinical Manager or Charge RN, compiles, verifies, ... as needed by the clinical..
... at the location level; monitoring compliance to policies, standards and procedures; ... to policies, standards and procedures; compliance audits and self-audits. Advise management ... on the level local HSE..
... in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who ... and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health applies ... policies and procedures to ensure..
... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... activities pursuant to state and federal rules and regulations. This position ... out the provisions of the..
Job Information Humana Manager, Quality Compliance in Angola Louisiana Description Humana ... in Louisiana is seeking a Manager, Quality Improvement who will implement ... plan, and annual evaluation. The Manager,..
Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical Practice ..
Description The Social Determinants of Health (SDOH) Coordinator understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed ..
Description The Community Health Worker/Care Management Support Professional 1 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..
Job Information Humana Manager, Quality Compliance in Lettsworth Louisiana Description Humana ... in Louisiana is seeking a Manager, Quality Improvement who will implement ... plan, and annual evaluation. The Manager,..
Job Information Humana Manager, Quality Compliance in New Roads Louisiana Description ... in Louisiana is seeking a Manager, Quality Improvement who will implement ... plan, and annual evaluation. The Manager,..
Description The Medicaid Housing Specialist (Care Management Support Professional 1)contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..