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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
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... is seeking a Nurse Care Manager to join the growing Dane ... program. The FCP Nurse Care Manager provides case management and support ... Responsibilities The FCP Nurse Care..
ESSENTIAL DUTIES AND RESPONSIBILITIES: rnrnrntDevelops and implements regulatory strategy and plans for projects, as assigned to ensure client and agency needs are met. Actively drives interactions with regulatory bodies, as assigned ..
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 Technical Product Manager - Remote in Green Bay ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Description iCare is seeking a Care Manager who will provide care management services through the Family Care Partnership (FCP) program including assessment, service plan development, ongoing care coordination, quality assurance and ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Green Bay Wisconsin Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the ..
SUMMARY: This position is responsible for providing regulatory direction, strategy, and support for our medical device clients in accordance with applicable regulatory requirements. They will be responsible for developing regulatory strategies ..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
... & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US ... & Risk Management Quality Audit (QA) Risk Management Professional 2, you ... for executing the Compliance Oversight..
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 ..
... and other members of the healthcare team to interpret, adjust, and ... Recommend disciplinary action to Clinical Manager and initiate as appropriate.Ensure compliance ... the absence on the Clinical..
Description Humana/iCare is seeking a Care Manager to join the growing Milwaukee County team in the Family Care Partnership (FCP) program. The FCP Care Manager provides care management services through the ..
... is seeking a Nurse Care Manager to join the growing Milwaukee ... program. The FCP Nurse Care Manager provides case management and support ... Responsibilities The FCP Nurse Care..
Description iCare is seeking a Family Care Partnership (FCP) RN Care Manager who provides case management and support to adults in the community, assures quality services are provided which are cost ..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Green Bay Wisconsin Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage ..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
