Manager Compliance Nursing Jobs in Charlotte

... Home Advantage (YHA) Market Clinical Manager (MCM) will lead a team ... Assessments (IHWA). The Market Clinical Manager provides leadership, clinical management and ... practice providers. The Market Clinical..

Description Reports directly to the Vice President, Medical Management Operations and serves as a member of the HGB Executive Committee. Leads functions related to HGB's Care Management programs to include predictive ..

... Information Humana Medicaid Associate Director, Compliance Nursing in Charlotte North Carolina Description ... Carolina Description The Associate Director, Compliance Nursing reviews utilization management activities and ... and abuse. The..

Job Information Centerwell AVP Strategic Bus Develop in Charlotte North Carolina The AVP Business Development & Managed Care will drive company development, expansion and diversification of profitable national and regional contracted ..

Description The Manager, Compliance Nursing reviews utilization management activities and ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines and ... schedules and goals. Responsibilities The..

Description The Risk Adjustment Integrity Unit (RAIU) Associate Director works collaboratively across the enterprise, communicating both the story and impacts of the highly specialized and critical investigations the unit conducts. This ..

... Kindred at Home RN Clinical Manager in Gastonia North Carolina The ... Gastonia North Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..

Job Information Humana Process Improvement Lead South Carolina Medicaid (Utilization and Case Management) in Charlotte North Carolina Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes ..

... quality of patient care, regulatory compliance, support of business development & ... and support to the Clinical Manager(s). Works in conjunction with the ... and supervision to the Clinical..

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... North Carolina Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..

Are you looking for an extraordinary growth and leadership opportunity with a top company in a fast-growing industry? Would you like that growth and success to be part of making a ..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... in accordance with all legal, compliance, and regulatory requirements and programs. ... all requirements of the FMCNA..

... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate Director, Utilization Management Nursing requires a solid understanding of ... The Associate..

Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..

Description The Director, Health Services utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding ..

... Kindred at Home RN Clinical Manager - Gastonia, NC in Gastonia ... Gastonia North Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

... Kindred at Home RN Clinical Manager Home Health Full Time - ... Kannapolis North Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..

... Nationwide Associate Director, Utilization Management Nursing in Charlotte North Carolina Description ... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate..

Area Construction Manager Overview Supervise, coordinate, and manage ... Ensure that work is in compliance with City or County requirements ... Frequently inspects homes for quality compliance Coordinate municipality inspectors..

... Kindred at Home RN Clinical Manager Home Health Full Time in ... Greenville North Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..