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Description The Compliance (UM) Professional 2 conducts and summarizes compliance audits. The Compliance (UM) Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses ..
Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
... the direction of the Facility Manager and/or Charge Registered Nurse, utilizing ... procedures. PRINCIPAL DUTIES AND RESPONSIBILITIES: QUALITY:Responsible for supporting and driving FVC ... for supporting and driving FVC..
Job ID 21000LWTAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... for supporting and driving FMS quality standards through meeting all ESRD ... requirements and the practice of..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
... the organization commitment to the Quality Enhancement Program (QEP) and CQI ... patients will achieve the organization Quality Enhancement Goals (QEP).PRINCIPAL DUTIES AND ... a nurse.Collaborates with the Clinical..
Job ID 21000JOIAvailable Openings 2Position Specific Information Full-Time 40 hours a week Full Benefits PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into ..