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... of quality healthcare. Maintains appropriate compliance with regulatory standards, i.e. CAP, ... include phlebotomy, lab general, and lab/nursing manuals. Recommends the sufficient number ... control, clerical/computer, phlebotomy, and billing..
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... 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 ..
Company Name: The Little Clinic Position Type: Employee FLSA Status: Exempt POSITION SUMMARY: Oversee the day to day operations of a retail clinic. Assist with new associate orientation, training and quality ..
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 ..
Job Information Humana Process Improvement Lead South Carolina Medicaid (Utilization and Case Management) in Glen Allen Virginia Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes ..
... Nationwide Associate Director, Utilization Management Nursing in Glen Allen Virginia Description ... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate..
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 ..
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 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 ..
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 ..
... 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..
... Information Humana Medicaid Associate Director, Compliance Nursing in Glen Allen Virginia Description ... Virginia Description The Associate Director, Compliance Nursing reviews utilization management activities and ... and abuse. The..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Allen Virginia Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..