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PRACTICE MANAGER I (Memorial Health Partners) Full-Time (P000070921)','Full-time','Director/Manager/Supervisor','1st','1st','80','80','Occasional','Occasional','TENNESSEE-CHATTANOOGA-MEMORIAL HOSPITAL','','!*!Job Summary: The Practice Manager I is responsible for managing the daily administrative and technical support sections of a medical clinic in accordance ..
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SUPERVISOR-DENIAL MANAGEMENT RESOLUTION (Mountain Managment) Full-Time (P000107657)','Full-time','Director/Manager/Supervisor','1st','1st','80','80','None','None','TENNESSEE-CHATTANOOGA-MOUNTAIN MANAGEMENT OFFICE','','!*!Job Summary/Purpose: The incumbent is responsible for planning, supervising and evaluating the daily operations of the assigned business office/revenue cycle function(s) in accordance ..
... the region’s largest, most comprehensive healthcare provider with hospitals located in ... and Bowling Green, Kentucky. The healthcare network of choice for thousands ... care you deserve from your..
... occurs 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..
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 ..
Plant Operations Technician','25070-61456','United States-Tennessee-Madison-Skyline Madison Campus','Part-time','Facilities Mgmt Plant Ops & Security','!*!TriStar Skyline Madison Campus - Madison, TN Located in Madison, Tennessee, TriStar Skyline’s Madison Campus is a mental health hospital that ..
HEALTHCARE PRIVACY AND SECURITY ATTORNEY – ... 3-5 years of experience in healthcare privacy and security matters as ... matters as well as general healthcare regulatory matters (e.g., healthcare fraud..
Job ID 21000HYZAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance based on..
Job ID 21000H8PAvailable Openings 2PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
... return, and restocking of medications, regulatory compliance, and maintains the ability to ... substance monitoring reports.7. Ensures personal compliance with USP 797 and/or USP ... nursing station inspections, and..
... Information Humana Medicaid Associate Director, Compliance Nursing in Brentwood Tennessee Description ... Tennessee Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
... improvements in all areas of healthcare have been made and thousands ... medical staff education, accreditation and regulatory compliance, facility based credentialing, privileging, performance ... perform their functions and..
Behavioral Health Placement Specialist','08452-61054','United States-Tennessee-Madison-Skyline Madison Campus','PRN/Per Diem','Clinical Techs - CV Cath Lab Surg Vasc & Central Sterile','!*!TriStar Behavioral Health Call Center - Madison, TN The TriStar Behavioral Health Call Center ..
... occurs 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..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..
Director of Case Management','00447-64066*','United States-Tennessee-Hendersonville-Hendersonville Medical Center','Full-time','Directors & Managers','!*!TriStar Hendersonville Medical Center, a 148-bed hospital about 15 minutes outside of Nashville, has provided high-quality health care to residents of Sumner and ..
... Information Humana Actuary, Risk and Compliance in Brentwood Tennessee Description This ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..
Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... monitoring all related behavioral health regulatory..
