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... Information Humana Medicaid Associate Director, Compliance Nursing in Portland Maine Description ... Maine Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..
Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance based on..
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..
Description The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... appropriate courses of action. The Compliance Nurse 2 will..
... Advocate for navigation of complex healthcare systems, various payers, community services, ... code of ethics and in compliance with regulatory bodies; NASW (National ... Licensed Clinical Social Work (LCSW)..
Description The CCM Compliance Professional 2 ensures compliance with governmental and contractual requirements. ... and contractual requirements. The CCM Compliance Professional 2 work assignments are ... of action. Responsibilities The..
**Peer Support Specialist - Providence Portland Medical Center** **Fulltime, Days (Tues-Fri: 9:30am-7pm, and Sat: 10:00am-2pm)** The Peer Support Specialist will be an essential part of the Behavioral Health Team. Provides telephonic ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
... Information Humana Senior Insurance Product Compliance Professional in Portland Maine Description ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..
... and/or record pertinent information in compliance with policies Operate multi-line telephone ... year of medical office **-OR-** healthcare experience Basic experience with Electronic ... in Oregon** As the largest..
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..
... Safety/Environmental Health Manager - Risk Compliance And Safety (1.0 FTE, Days) ... Safety/Environmental Health Manager - Risk Compliance And Safety that will be ... ensure work place safety and..
... competency with numerous regulatory body compliance and safety regulations. Job complexity ... have the following responsibilities:** Laboratory Compliance: Demonstrate competency required by the ... required by the PH&S Laboratory..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
**Providence is calling a Supervisor Clinical Research - Program Development Cancer (1.0 FTE, Days) to Providence Portland Medical Center in Portland, OR.** **Apply today! Applicants that meet qualifications will receive a ..
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..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
... Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities ... fraud, waste, and abuse. The Compliance Nurse work assignments are varied ... schedule and overtime. Responsibilities The..
... factors that impact a person's healthcare, to proactively guide practice and ... Advocate for navigation of complex healthcare systems, various payors, community services, ... macro level and crosses the..
... Information Humana Actuary, Risk and Compliance in Portland Maine Description This ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..
