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Description The Field Care Manager Nurse 2 assesses and evaluates ... of members. The Field Care Manager Nurse 2 work assignments are ... acute facilities, to achieve high quality care...
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 ..
... 6 people supports the IBA project team on customer acceptance, training ... Responsibilities: As Product Application support manager, your responsibilities will be to: ... Operations/Service, especially the team of..
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 ..
... scope of license to the manager/supervisor n Supervision of (VITAS employed ... n n Participates in the Quality Assessment and Performance Improvement (QAPI) ... n participation in Performance Improvement..
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). ..