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11

Manager Compliance Nursing Jobs






Job info
 
Company
Location
Dover, DE
Posted Date
Mar 07, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Dover, DE
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Dover, DE
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

... Information Humana Medicaid Associate Director, Compliance Nursing in Dover Delaware Description The ... Delaware Description The Associate Director, Compliance Nursing reviews utilization management activities and ... and abuse. The..

 
Company
**********
Location
Dover, DE
Posted Date
Feb 23, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
Location
Dover, DE
Posted Date
Jun 23, 2023
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Dover, OH
Posted Date
Oct 14, 2022
Info Source
Employer  - Full-Time  90  

... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state and federal requirements ... management. For Behavioral Health, C.M...

 
Company
**********
Location
Dover, DE
Posted Date
Feb 07, 2022
Info Source
Employer  - Full-Time  90  

Description The Director, Health Services Nursing serves as the strategic leader ... Director, Utilization Management Behavioral Health Nursing utilizes clinical nursing skills to support the coordination, ... Director, Utilization Management..

 
Company
**********
Location
Dover, DE
Posted Date
Aug 26, 2022
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Dover, DE
Posted Date
Oct 22, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Dover, DE
Posted Date
Nov 21, 2021
Info Source
Employer  - Full-Time  90  

... Nationwide Associate Director, Utilization Management Nursing in Dover Delaware Description The ... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate..

 
Company
Location
Dover, DE
Posted Date
Sep 11, 2023
Info Source
Employer  - Full-Time  90  

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 ..

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