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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 ..
Job ID 21000L1TAvailable 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 ..
Description The Quality Compliance Professional 2 completes annual ... Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments ... courses of action. Responsibilities..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
Job Description ***This position will support the greater Tallahassee and surrounding areas*** As a Registered Nurse (RN), Home Infusion you will work outside the walls of a hospital setting in a ..
Job Information Centerwell Registered Nurse, Home Health Full Time in Tallahassee Florida As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing visits for ..
Job Information Centerwell RN Clinical Manager in Tallahassee Florida The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes clinical ..
Job Information Humana Call Quality Coach (Call Quality Professional 2) in Tallahassee Florida ... Tallahassee Florida Description The Call Quality Coach (Call Quality Professional 2) provides information to ... individuals..
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 Call Quality Coach in Tallahassee Florida Description ... Tallahassee Florida Description The Call Quality Coach (Call Quality Professional 2) monitors and evaluates ... 2) monitors and evaluates..
... Department cross-functional teams to ensure quality throughout the software development lifecycle ... as directed by the Department Quality Assurance Analyst: Key Knowledge, Skills ... of direct experience working with..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
FLDOH-1240 Contractor will perform the following tasks in the time and manner specified: Develop user requirement documents, design documents and screen presentations based on user requirements, user input and feedback as ..
Job Information Humana Quality Improvement Coordinator in Tallahassee Florida ... in Tallahassee Florida Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
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 ..
Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..
... 30 years at Tallahassee Memorial Healthcare (TMH), home to the region's ... team to provide family centered quality healthcare. Supported by a variety of ... to great weather, affordability..
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 ..
Job Information Humana Call Quality Coach (Call Quality Professional 2) REMOTE in Tallahassee ... Tallahassee Florida Description The Call Quality Coach (Call Quality Professional 2) provides information to ... individuals..
... you grow or advance: Previous healthcare experience is not required to ... part of the future of healthcare, apply today.PRINCIPAL DUTIES AND RESPONSIBILITIES:As ... a member of the nephrology..