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Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..
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Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
Job Information Humana Care Manager, Registered Nurse, RN - Maternity, ... Ohio Description The Field Care Manager assesses and evaluates member's needs ... members. Responsibilities The Field Care Manager Nurse..
... programs and services of Heritage Healthcare through formal and informal interactions ... with the community.18. Act in compliance with Heritage Healthcare's regulatory and professional standards and ... Provide input..
... direction of a RN in compliance with the state's Nurse Practice ... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... contact with patients, physicians, clinical..
... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state and federal requirements ... years' experience working in the..
Job Information Humana Manager, Care Management(Behavioral Health) - Ohio ... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Columbus, Ohio!!rnrnFull-Time Opportunity, M-F 8am - 5pm type hoursrnrnSeeking Board Certified Internal Medicine or Family Medicine PhysicianrnrnThe physician will perform chart ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..
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 ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Job Information Humana Care Manager, Licensed Behavioral Health Professional or ... Ohio Description The Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses and evaluates ... members. Responsibilities..
Columbus, OH, USA Full-Time Email Me This Job The Encourage Regional Director recruits and supports foster families in the Columbus and Central Ohio region, developing relationships with local children's service agencies ..
Job Information Kindred at Home RN Admissions Home Health Full Time in Columbus Mississippi The Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by ..
