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... testing Identify gaps in the quality assurance and testing processes, generate ... bugs are resolved Help ensure compliance with client, agency, and company ... detail Salesforce, Appian, and/or previous..
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u003cpu003eu003cstrongu003e**Must beu0026nbsp;u003cemu003ehighlyu003c/emu003e proficientu0026nbsp;in Spanish and English** u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eThis job exists to: u003c/strongu003eProvide direct nursing care to our patients, assist the providers and pod team members and provide support to the Nurse Supervisor ..
u003cpu003eu003cstrongu003e**Must be bilingual/highly proficientu0026nbsp;in Spanish and English**u003c/strongu003eu003c/pu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu003cstrongu003eThis job exists to: u003c/strongu003eProvide direct nursing care to our patients, assist the providers and pod team members and provide support to the Nurse Supervisor ..
... confidentiality to ensure Clinicau0026rsquo;s full compliance with federal and state requirements.u003c/pu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eESSENTIAL ... organization.u003c/pu003enu003cpu003eu0026bull; Implement an effective departmental Quality Improvement Program and contributes to ... and contributes to the company-wide..
Description Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional ... to ensure high accountability of compliance and quality and claims are being reviewed ... implements programs to establish high..
... Information Humana Medicaid Associate Director, Compliance Nursing in Colorado Springs Colorado ... Colorado Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
... Execute daily workload within full compliance of state and federal billing ... Increase accuracy u0026amp; reduce errors (Quality)u003c/pu003enu003cpu003eo Save money o Increase employee ... all findings and to enable..
... performing complex tasks related to compliance with accreditation standards across multiple ... performing complex tasks related to compliance with accreditation standards across multiple ... the development and implementation of..
Description The Quality Assurance, Clinical Professional 2 consults ... to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work ... courses of action. Responsibilities The..
Description The Senior Quality Assurance, Clinical Professional requires being ... to ensure high accountability of compliance and quality and will work assignments involving ... Categories) coding documentation guidelines and compliance..
Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... procedures, and training and in compliance with regulations set forth by ... the FMCNA commitment to the..
u003cpu003eu003cstrongu003e*Must be bilingual in Spanish and English*u003c/strongu003eu003c/pu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu003cstrongu003eThis job exists to:u003c/strongu003e The purpose of this position is to have a staff member who is fully cross trained in all aspects of administrative ..
... within a context of regulatory compliance, and work is assisted by ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
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 The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..
u003cpu003eu003cstrongu003eThis job exists to u003c/strongu003eefficiently, effectively, and accurately convert patient encounters into reimbursable claims for timely payment from Clinicau0026rsquo;s payer mix.u003c/pu003enu003cpu003eAccept charges, review, analyze, and code diagnostic and procedural information that ..
... within a context of regulatory compliance, and work is assisted by ... whether services provided by other healthcare professionals are in agreement with ... meeting departmental expectations, and meets..
... business reviews in accordance with compliance requirements advise Commercial Product of ... recommend opportunities to optimize vendor quality Facilitate the measurement of success ... and/or service level oversight including..
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 ..
