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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 ... adults in the community, assures..
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..
... is seeking a Nurse Care Manager to join the growing Milwaukee ... program. The FCP Nurse Care Manager provides case management and support ... adults in the community, assures..
... Humana/iCare is seeking a Care Manager to join the growing Milwaukee ... (FCP) program. The FCP Care Manager provides care management services through ... plan development, ongoing care coordination,..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..
... HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... guidelines/procedures. Primary responsibilities for the..
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 ..
Description The Manager, Risk Adjustment oversees coding educators ... Adjustment oversees coding educators and quality assurance audits of medical records and ... and Medicaid Services (CMS). The Manager, Risk Adjustment..
Description The Vendor Quality Medical Director will manage clinical ... Director will manage clinical vendor quality outcomes for Humana Clinical Operations ... Director to manage clinical vendor quality outcomes for..
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 ..
... 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 The Manager, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific ... schedules and goals. Responsibilities The Manager, Compliance Nursing ensures..
... of regulatory submissions supporting its quality and regulatory obligations to clients. ... and requirements.rntAssists with developing corporate quality objectives and plans to ensure ... and plans to ensure the..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Green Bay Wisconsin Description ... Healthy Horizons is seeking a Quality Improvement Program..
... creation, maintenance and review of quality assurance systems that promote Innovenn and ... promote Innovenn and its clients’ quality in delivery of services and/or ... supporting Innovenn in meeting..
