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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 Minneapolis Minnesota Description The ... Minnesota Description The Associate Director, Compliance Nursing reviews utilization management activities and ... and abuse. The..
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... 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..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Minneapolis Minnesota Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
... 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..
AccentCare, Inc.u00AEu00A0is a national post-acute healthcare provider with 45 years of industry experience. We thrive on providing patient-centric care and a warm and personalized experience within our local communities.u00A0Your Success is ..
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 ..
... Nationwide Associate Director, Utilization Management Nursing in Minneapolis Minnesota Description The ... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate..
... behalf of the customer. Ensures compliance with hospital regulations and participates ... Confer routinely with Technical Program Manager and Technical Operations Manager to ensure preventative maintenance program ... policies..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Edina Minnesota The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in compliance..
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 ..
... state to cover as Clinical Manager as needed. PURPOSE AND SCOPE: ... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... in accordance with all legal,..
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..
