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Description The Utilization Management Nurse uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or ..
Description The Care Management Support Assistant 2 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance Lead is responsible ..
Job Information Humana Field Care Manager Nurse - IL Medicaid - ... Illinois Description The Field Care Manager Nurse 2 assesses and evaluates ... of members. The Field Care Manager..
... ongoing compliance with all FMS risk management initiatives. Provides opportunities for ... all patients. Must complete Clinical Manager training modules and ongoing developmental ... all patients. Must complete Clinical..
... oversee a pro-active claims and risk management program, ensuring a consistent ... expense payments. The Office of Risk and Claims Management (ORCM), Division ... Management (ORCM), Division of Clinical..
Job Description This is a telework role requiring up to 75% travel in South, Southwest Chicago and surrounding suburbs, IL Working schedule: Monday-Friday, 8am-5pm CST. Family Summary/Mission Develop, implement, support, and ..
Senior Manager, HIPAA and Privacy Duties: Understands, ... records processing procedures for the healthcare industry (payers, providers, processors). Responsible ... Coordinates project aspects, and ensures risk is managed, mitigated, or..
**Job ID** 2022-160110 **JOB OVERVIEW** **_It makes me feel good knowing that we make the residents lives better. We laugh with them, cry with them, sing and dance with them we ..
OverviewAt HealthPro Heritage we hire people who share our vision, who work diligently and provide the kind of care that will help change patient's lives for the better. As an Associate, ..
**Job ID** 2022-160104 **JOB OVERVIEW** **_It makes me feel good knowing that we make the residents lives better. We laugh with them, cry with them, sing and dance with them we ..
PURPOSE AND SCOPE:Provides employee relations support, guidance and advice to field management and employees in assigned regions within a FMS Division. Ensures compliance with company policies and procedures, and local, state ..
Senior Manager, HIPAA and Privacy Duties: The ... records processing procedures for the healthcare industry (payers, providers, processors). Responsible ... Coordinates project aspects, and ensures risk is managed, mitigated, or..
TeamHealth has an exciting opportunity available for a physician to join our hospitalist team in Elgin, Illinois. This is currently round-and-go but is transitioning to a 7-on/7-off schedule. Candidates should be ..
Job Description This will be a work from home flexible position with travel up to 25% to meet members within Chicago area ( Cook County IL) and occasional office based meetings ..
Job ID 21000MGOAvailable Openings 1DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well as your own. Connect with ..