Managed Care Compliance Jobs in Rio Rancho

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 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..

... 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 Albuquerque New Mexico ... Mexico Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

Medical Assistant - Primary Care Clinic Department: Primary Care Clinics Location: Rio Rancho, NM ... messages from patients for health care concerns, medication refill requests and ... within the PSN..

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,..

Job Information Humana Senior Compliance Professional - Disability and Life ... New Mexico Description The Senior Compliance Professional will analyze business requirements, ... in a manner that minimizes compliance risk..

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) ... Albuquerque New Mexico Description The Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and wellbeing..

Medical Assistant - Wound Care Program - Full-time Department: Surgical ... messages from patients for health care concerns, medication refill requests and ... within the PSN system. PATIENT CARE -..

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..

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 Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... as outlined in the Autism Care Demonstration (ACD)..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead will analyze business requirements, ... in a manner that minimizes compliance risk exposure for the Company. ... day-to-day..

... 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..

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..

Medical Assistant Primary Care - FT 1.0 Department: Primary ... - FT 1.0 Department: Primary Care Clinics Location: Rio Rancho, NM ... messages from patients for health care concerns, medication..

Medical Assistant - Primary Care (Full time - 1.0) Department: ... time - 1.0) Department: Primary Care Clinics Location: Rio Rancho, NM ... messages from patients for health care concerns,..

Medical Assistant - Primary Care (.80 FTE) Department: Ambulatory Services ... messages from patients for health care concerns, medication refill requests and ... within the PSN system. PATIENT CARE -..

Job Information Humana RN-Care Manager, Behavioral Health-RN in an ... Albuquerque New Mexico Description The Care Manager, Telephonic Behavioral Health 2, ... with resources appropriate for the care and wellbeing..

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 ..

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..

Registered Nurse - Wound Ostomy Care - Full-time (Days) Department: Medical ... Scope Provide safe, direct patient care utilizing the nursing process in ... focus on Wound and Ostomy care...