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Description The Senior Policy Governance Professional policy Governance is the combination of Compliance processes established and executed that are reflected in the organization's structure and how it is managed and led ..
Description The Manager, Care Management leads teams of nurses ... behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines ... succeed, we succeed! The..
Description The Care Manager, Telephonic Nurse 2, in ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic Nurse..
Description The Transplant Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and wellbeing of members. The ... wellbeing of members. The Transplant Care Manager, Telephonic..
Description The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... appropriate courses of action. The Compliance Nurse 2 will..
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 Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior..
... experience for the ACD (Autism Care Demonstration) policy changes. Develop and ... needs, data needs, provider audit compliance etc. 20 % Develop deep ... measurements. 10% Working with ACD..
... Information Humana Medicaid Associate Director, Compliance Nursing in Dover Delaware Description ... Delaware Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Description The Associate Director ensures compliance with governmental requirements for Medicaid. ... Associate Director develops and implements compliance program oversight and monitoring plans, ... based. The Associate Director researches compliance..
Description Responsibilities The Autism Care Demonstration (ACD) Senior Learning Design ... opportunity for performance excellence and compliance with TOM Chapter 18, section ... Bachelor's degree 1 year of managed care..
... Medical Director of Long Term Care, Florida in Dover Delaware Description ... Delaware Description The Long Term Care Medical Director supports the Long ... Director supports the Long Term..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an ... in Dover Delaware Description The Care Manager, Telephonic Behavioral Health 2, ... with resources appropriate for the care and wellbeing..
... whose purpose is to provide care management program support resources to ... careers. At Partners in Primary Care, we're seeking innovative people who ... whole. Responsibilities CenterWell Senior Primary..
Job Information Humana Director, Care Delivery and EMR/EHR Technology in ... IT business initiatives specific to care delivery technology and the core ... capabilities interrelate across Humana's Primary Care segment,..
Description The Care Manager, Telephonic Behavioral Health 2 ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic Behavioral..
Description The Care Manager, Telephonic Behavioral Health 2, ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic Behavioral..
Description The Senior Compliance Professional will provide guidance for ... implementation of Humana's Oklahoma Medicaid Compliance Program. He/she will serve as ... point of contact for all Managed Care Organization..
Description Responsibilities This position will maintain the Humana Military ACD website Autism Center of Excellence (CoE); ensuring educational information is current and relevant to training needs in addition to analyzing and ..
Job Information Humana Workforce Management Professional 2 - Case/Care Management in Dover Delaware Description The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) ... in Dover Delaware Description The Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and wellbeing..
Description The Care Manager, Telephonic Nurse 2 employs ... resolves barriers that hinder effective care. Ensures patient is progressing towards ... outcomes by continuously monitoring patient care through assessments and/or..
